Provider Demographics
NPI:1891849287
Name:KAPLAN, KENT DELOS (DDS)
Entity Type:Individual
Prefix:DR
First Name:KENT
Middle Name:DELOS
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 E EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50313-4557
Mailing Address - Country:US
Mailing Address - Phone:515-282-7074
Mailing Address - Fax:515-282-3073
Practice Address - Street 1:600 E EUCLID AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50313-4557
Practice Address - Country:US
Practice Address - Phone:515-282-7074
Practice Address - Fax:515-282-3073
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA7256122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist