Provider Demographics
NPI:1952418311
Name:KUBES DENTAL CARE
Entity Type:Organization
Organization Name:KUBES DENTAL CARE
Other - Org Name:DAVID T KUBES DDS AND ASSOCIATES PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:THEOPHIL
Authorized Official - Last Name:KUBES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:651-644-9000
Mailing Address - Street 1:91 NO SNELLING AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104
Mailing Address - Country:US
Mailing Address - Phone:651-644-9000
Mailing Address - Fax:651-644-0613
Practice Address - Street 1:91 NO SNELLING AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104
Practice Address - Country:US
Practice Address - Phone:651-644-9000
Practice Address - Fax:651-644-0613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN86221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty