MEDICARE: RESTORATION DENTAL, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center	07847	IA

General Provider Information

NPI Number	:	1205003506
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESTORATION DENTAL, P.C.

Provider Business Mailing Address
First Line	:	5465 MILLS CIVIC PKWY
Second Line	:	SUITE 260
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-5318
Country	:	US
Telephone Number	:	515-440-3393
Fax Number	:	515-440-1159

Provider Business Practice Location Address
First Line	:	5465 MILLS CIVIC PKWY
Second Line	:	SUITE 260
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-5318
Country	:	US
Telephone Number	:	515-440-3393
Fax Number	:	515-440-1159

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAY JERALD JENSEN
Credential	:	D.D.S.
Telephone Number	:	515-440-3393

Provider Enumeration Date	:	05/15/2008
Last Update Date	:	05/15/2008

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1568654317 — MRS. ELIZABETH FAYE LAFLEUR DC
Practice Location Address:

5465 MILLS CIVIC PKWY , SUITE 230
WEST DES MOINES, IA
50266-5318

Practice Phone: 515-564-7272
Practice Fax: 515-564-7273

1841478435 — LAFLEUR CHIROPRACTIC, PLC
Practice Location Address:

5465 MILLS CIVIC PKWY , SUITE 230
WEST DES MOINES, IA
50266-5318

Practice Phone: 515-564-7272
Practice Fax: 515-564-7273

1629247101 — DR. BENJAMIN JOSEPH LAFLEUR D.C.
Practice Location Address:

5465 MILLS CIVIC PKWY , SUITE 230
WEST DES MOINES, IA
50266-5318

Practice Phone: 515-564-7272
Practice Fax:

1891806618 — L G BREEDLOVE, PLLC
Practice Location Address:

3839 BEE CAVE RD STE 202
WEST LAKE HILLS, TX
78746-5318

Practice Phone: 512-327-2921
Practice Fax: 512-327-4944

1235212655 — JIANHUA MU
Practice Location Address:

3839 BEE CAVE RD STE 202
WEST LAKE HILLS, TX
78746-5318

Practice Phone: 512-468-5902
Practice Fax:

Directions to “RESTORATION DENTAL, P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.