RESTORATION DENTAL P.C. NPI 1205003506

NPI Information

NPI: 1205003506
Provider Name: RESTORATION DENTAL, P.C.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
5465 MILLS CIVIC PKWY
SUITE 260
WEST DES MOINES, IA
ZIP 50266
Phone: (515) 440-3393
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RESTORATION DENTAL, P.C. is a dental clinic center in West Des Moines, IA. RESTORATION DENTAL, P.C. NPI is 1205003506. The provider is registered as an organization entity type.

The provider's business location address is:

5465 MILLS CIVIC PKWY
SUITE 260
WEST DES MOINES, IA
ZIP 50266-318
Phone: (515) 440-3393
Fax: (515) 440-1159

The provider's authorized official is Jay Jerald Jensen .
The authorized official title is Owner and has the following contact phone number (515) 440-3393.

The enumeration date for this NPI number is 5/15/2008 and was last updated on 5/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	07847	IOWA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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