| Jersey Ridge Dental Associates | |
|
5105 Jersey Ridge Road Davenport IA 52807-3134 | |
| (563) 359-9144 | |
| (563) 359-9146 |
| Full Name | Jersey Ridge Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5105 Jersey Ridge Road, Davenport, Iowa |
| Authorized Official Name and Position | David L Samuelson (PARTNER) |
| Authorized Official Contact | 5633599144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jersey Ridge Dental Associates 5105 Jersey Ridge Road Davenport IA 52807-3134 Ph: (563) 359-9144 | Jersey Ridge Dental Associates 5105 Jersey Ridge Road Davenport IA 52807-3134 Ph: (563) 359-9144 |
| NPI Number | 1194892521 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 07/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194892521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Alan D. Hathaway D.d.s. P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1333 W Lombard St, Davenport, IA 52804 Phone: 563-322-1451 Fax: 563-323-3688 | |
Anthony J Hathaway Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1333 W Lombard St, Davenport, IA 52804 Phone: 563-323-9331 | |
Quad Cities Periodontics, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 E 54th St, Suite A, Davenport, IA 52807 Phone: 563-344-4867 Fax: 563-344-0215 | |
William H Bausch Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3575 Jersey Ridge Rd, Davenport, IA 52807 Phone: 563-355-7488 Fax: 563-355-7003 | |
Dr Krista L. Kukarans Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2305 Jersey Ridge Rd, Davenport, IA 52803 Phone: 563-355-0258 | |
Gregory C. Witt D.d.s.,marjorie A. Taylor D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2466 E Kimberly Rd, Davenport, IA 52807 Phone: 563-359-4270 | |
Mississippi Valley Oral & Maxillofacial Surgery Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2305 E 52nd St, Suite 1, Davenport, IA 52807 Phone: 563-355-9424 Fax: 563-355-0180 |