Iowa Dental Health Professionals, P.C.
Dentist, General Practice in Davenport, IA. Organization (NPI-2).
NPI number1487874723
StatusActive
Last updated in NPPESFeb 10, 2014
Details
- NPI
- 1487874723
- Entity type
- Organization (NPI-2)
- Legal business name
- Iowa Dental Health Professionals, P.C.
- Organization subpart
- Yes
- Enumeration date
- Apr 27, 2007
- Last updated
- Feb 10, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Waterford Family Dentistry (Doing Business As)
Practice location
1850 E 53rd StSuite 5
Davenport, IA 52807-2784
Phone 563-344-8950 · Fax 563-344-8942
Mailing address
1850 E 53rd StSuite 5
Davenport, IA 52807-2784
Phone 563-344-8950 · Fax 563-344-8942
Authorized official
Lindsay Bearden
Ins Cood
2175405100
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