OrganizationActive
South Des Moines Dental
NPI 1861106700 · Dental Clinic/Center · Des Moines, IA
South Des Moines Dental is a Dental Clinic/Center organization in Des Moines, IA (NPI 1861106700).
Provider details
- NPI number
- 1861106700
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kyle Connolly, Owner Dentist(515) 285-9962
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4401 Sw 9th St
Des Moines, IA 50315-3909
Phone: (515) 285-9962
Street-level locationGet directions
Mailing address
4401 Sw 9th St
Des Moines, IA 50315-3909
Other names (DBA / former)
- Doing business as
- South Des Moines Dental Practice
Registry dates
- Enumerated
- 2023-01-05
- Last updated
- 2023-01-05
- Certified
- 2023-01-05
Frequently asked questions
- What is South Des Moines Dental's NPI number?
- South Des Moines Dental's National Provider Identifier (NPI) is 1861106700, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Des Moines Dental?
- South Des Moines Dental is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is South Des Moines Dental located?
- South Des Moines Dental's practice location on file with NPPES is 4401 Sw 9th St, Des Moines, IA 50315-3909.
- What is South Des Moines Dental's phone number?
- The practice phone number listed in the NPPES registry for South Des Moines Dental is (515) 285-9962.
- Who is the authorized official for South Des Moines Dental?
- The authorized official listed on South Des Moines Dental's NPPES record is Kyle Connolly, Owner Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Des Moines Dental's NPI active?
- Yes — South Des Moines Dental's NPI (1861106700) is active in the NPPES registry as of the last update on 2023-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.