Jolene Marie Dague in Davenport - General Practice
Jolene Marie Dague - NPI 1083878896
Jolene Marie Dague is a General Practice in Davenport, Iowa. Jolene Marie Dague practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jolene Marie Dague is 1083878896. The last update date is 2015-01-12.
Jolene Marie Dague's current location address is 1905 N. Main St, Davenport, Iowa. You can contact this provider via phone number 5633232571. The mailing address for Jolene Marie Dague is 1905 N. Main St, Davenport, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jolene Marie Dague |
|---|---|
| Address | 1905 N. Main St, Davenport, Iowa |
| Phone Number | 5633232571 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1083878896 |
|---|---|
| Provider Enumeration Date | 2008-07-11 |
| Last Updated Date | 2015-01-12 |
Provider Mailing Address Detail
| Address | 1905 N. Main St |
|---|---|
| City | Davenport |
| State | Iowa (IA) |
| Post Code | 52803 |
| Phone Number | 5633232571 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 8542 |
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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 Jolene Marie Dague's unique identification number?
The Jolene Marie Dague has been assigned the NPI (National Provider Identifier) Number 1083878896 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Jolene Marie Dague is physically located?
The Jolene Marie Dague is physically situated at the following address: 1905 N. Main St, Davenport, IA, 52803.
What is the area of specialization for Jolene Marie Dague, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jolene Marie Dague is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Jolene Marie Dague receive its 1083878896 assignment from the Centers for Medicare & Medicaid Services?
The Jolene Marie Dague was assigned its 1083878896 by the Centers for Medicare & Medicaid Services on 2008-07-11.
As of what date were the details related to Jolene Marie Dague most recently updated or revised?
The information pertaining to Jolene Marie Dague, including its address, specialty, and other relevant details, was last updated or revised on 2015-01-12.