Kubovich, Matthew Perry

Kubovich, Matthew Perry is an sole proprietor health care provider with primary practice located at 4949 Westown Pkwy Suite 150, West Des Moines IA 50266-6702. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Kubovich, Matthew Perry can be contacted via phone (515) 225-0066.

Contact Information

Primary practice address
4949 Westown Pkwy Suite 150 West Des Moines IA 50266-6702
Phone: (515) 225-0066
Fax: (515) 226-0998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 08110 Iowa

Profile Details

NPI number 1578532446
LBN Legal business name Kubovich, Matthew Perry
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated Nov 30th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578532446 NPPES
Iowa Other 1745344 CONCORDIA
Iowa Other 35184 CONCORDIA
Iowa Other 8110 CONCORDIA
Iowa MEDICAID 1291575 CONCORDIA

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