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MATTHEW KUBOVICH NPI 1386811677


NPI Information

NPI: 1386811677
Provider Name: MATTHEW KUBOVICH

Doing Business As: DES MOINES PEDIATRIC DENTAL CENTER

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
4949 WESTOWN PKWY
SUITE 150
WEST DES MOINES, IA
ZIP 50266
Phone: (515) 225-0066
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MATTHEW KUBOVICH is a pediatric dentistry dentist in West Des Moines, IA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. MATTHEW KUBOVICH NPI is 1386811677. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Des Moines Pediatric Dental Center.

The provider's business location address is:

4949 WESTOWN PKWY
SUITE 150
WEST DES MOINES, IA
ZIP 50266-702
Phone: (515) 225-0066
Fax: (515) 226-0998

The provider's authorized official is Matthew Perry Kubovich .
The authorized official title is Owner and has the following contact phone number (515) 225-0066.

The enumeration date for this NPI number is 5/15/2008 and was last updated on 11/30/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric DentistryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
135184OTHERIOWABLUE CROSS BLUE SHIELD
21291575MEDICAIDIOWA
31745344OTHERIOWAUNITED CONCORDIA

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

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