Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528167236 Individual Practitioner Male Practitioner

Dr. Robert Warren Koubsley , DDS

Dentist - General Practice • St Cloud, MN

Professional Overview & Biography Verified Profile Summary

Dr. Robert Koubsley, DDS is a registered healthcare professional specializing in Dentist - General Practice in St Cloud, MN. Practice services are available at 3400 1ST ST N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3400 1st St N
#102

St Cloud, MN 56303

Telephone 3202559048
Fax 3202514745
Associated Practice Facility / Clinic
🏢 Robert W. Koubsky, D.d.s. Facility NPI 1104198837

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in St Cloud, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
6 Specialists

Practicing in St Cloud, MN (2262 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN MN 8778

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Mn State Tax Id
4347273 (MN)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3400 1ST ST N, #102, ST CLOUD, MN 56303 (Tel: 3202559048)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3400 1ST ST N, #102, ST CLOUD, MN 56303 (Tel: 3202559048)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT KOUBSLEY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #MN 8778 in MN)

🟢
Initial NPI Registration & Enumeration September 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528167236
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

3400 1st St N, #102

St Cloud, MN 56303

Phone: 3202559048

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.