Provider Demographics
NPI:1306318852
Name:KIMBALL & BEECHER DES MOINES PLLC
Entity type:Organization
Organization Name:KIMBALL & BEECHER DES MOINES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:BEAU
Authorized Official - Middle Name:
Authorized Official - Last Name:BEECHER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:319-235-6287
Mailing Address - Street 1:4015 HURST DR
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50701-9035
Mailing Address - Country:US
Mailing Address - Phone:319-235-6287
Mailing Address - Fax:319-232-3171
Practice Address - Street 1:6150 SE 14TH ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50320-1719
Practice Address - Country:US
Practice Address - Phone:515-287-6900
Practice Address - Fax:515-287-6901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-21
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty