| James T Gimbel Dds Pc | |
|
5335 Eastern Avenue Suite A Davenport IA 52807-2788 | |
| (563) 386-0301 | |
| (563) 386-0987 |
| Full Name | James T Gimbel Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5335 Eastern Avenue, Davenport, Iowa |
| Authorized Official Name and Position | James Thomas Gimbel (DENTIST OWNER) |
| Authorized Official Contact | 5633860301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James T Gimbel Dds Pc 5335 Eastern Avenue Suite A Davenport IA 52807-2788 Ph: (563) 386-0301 | James T Gimbel Dds Pc 5335 Eastern Avenue Suite A Davenport IA 52807-2788 Ph: (563) 386-0301 |
| NPI Number | 1477638815 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 01/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477638815 | NPI | - | NPPES |
| 107305 | Other | UNITED CONCORDIA | |
| 0009977 | Medicaid | IA | |
| 19764 | Other | WELLMARK FEDERAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 06835 (Iowa) | Primary |
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