| Marc C Slivken David A Johnson Thomas A Thol | |
|
3512 Jersey Ridge Rd Davenport IA 52807-3332 | |
| (563) 359-3494 | |
| Not Available |
| Full Name | Marc C Slivken David A Johnson Thomas A Thol |
|---|---|
| Speciality | Dentist |
| Location | 3512 Jersey Ridge Rd, Davenport, Iowa |
| Authorized Official Name and Position | Thomas William Thul (PRESIDENT DENTIST) |
| Authorized Official Contact | 5633593494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc C Slivken David A Johnson Thomas A Thol 3512 Jersey Ridge Rd Davenport IA 52807-3332 Ph: () - | Marc C Slivken David A Johnson Thomas A Thol 3512 Jersey Ridge Rd Davenport IA 52807-3332 Ph: (563) 359-3494 |
| NPI Number | 1689762494 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689762494 | NPI | - | NPPES |
| 710728 | Other | IA | BLUE CROSS S |
| 755644 | Other | IA | BLUE CROSS J |
| 709842 | Other | IA | BLUE CROSS T |
| 0099382 | Other | IA | SLIVKEN |
| 0096222 | Other | IA | JOHNSON |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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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 | |
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