Jersey Ridge Dental Associates in Davenport - General Practice
Jersey Ridge Dental Associates - NPI 1194892521
Jersey Ridge Dental Associates is a General Practice in Davenport, Iowa. Jersey Ridge Dental Associates practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jersey Ridge Dental Associates is 1194892521. The last update date is 2008-07-24.
Jersey Ridge Dental Associates's current location address is 5105 Jersey Ridge Road, Davenport, Iowa. You can contact this provider via phone number 5633599144 and fax number 5633599146. The mailing address for Jersey Ridge Dental Associates is 5105 Jersey Ridge Road, Davenport, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jersey Ridge Dental Associates |
|---|---|
| Address | 5105 Jersey Ridge Road, Davenport, Iowa |
| Phone Number | 5633599144 |
| Fax Number | 5633599146 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Samuelson L David |
| Telephone Number | 5633599144 |
NPI Number Detail
| NPI Number | 1194892521 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2008-07-24 |
Provider Mailing Address Detail
| Address | 5105 Jersey Ridge Road |
|---|---|
| City | Davenport |
| State | Iowa (IA) |
| Post Code | 528073134 |
| Phone Number | 5633599144 |
| Fax Number | 5633599146 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: 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. |
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What is the unique 10-digit identifier code assigned to Jersey Ridge Dental Associates by the Centers for Medicare & Medicaid Services?
The Jersey Ridge Dental Associates has been issued the NPI (National Provider Identifier) 1194892521 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Jersey Ridge Dental Associates's physical address?
The Jersey Ridge Dental Associates is physically located at 5105 Jersey Ridge Road, in the city of Davenport, IA, with the postal code 528073134.
What is Jersey Ridge Dental Associates's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jersey Ridge Dental Associates is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
When did Jersey Ridge Dental Associates receive its 1194892521 assignment?
The Jersey Ridge Dental Associates was assigned its 1194892521 on 2006-11-29, which is the date when this unique identifier was issued to the organization.
When was the Jersey Ridge Dental Associates's information last updated?
The Jersey Ridge Dental Associates's information was last updated on 2008-07-24.