Healthcare Provider Details

I. General information

NPI: 1003558511
Provider Name (Legal Business Name): KANE MICHAEL LOUSCHER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2022
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 FLEUR DR STE 200
DES MOINES IA
50321-3105
US

IV. Provider business mailing address

7400 FLEUR DR STE 200
DES MOINES IA
50321-3105
US

V. Phone/Fax

Practice location:
  • Phone: 515-461-8741
  • Fax:
Mailing address:
  • Phone: 515-461-8741
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDDS-10416
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: