| Community Health Care - Dental | |
|
125 Scott St Davenport IA 52801-1130 | |
| (563) 336-3222 | |
| (563) 336-3229 |
| Full Name | Community Health Care - Dental |
|---|---|
| Speciality | Clinic/Center |
| Location | 125 Scott St, Davenport, Iowa |
| Authorized Official Name and Position | Thomas J Bowman (CEO) |
| Authorized Official Contact | 5633363000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Care - Dental 500 W River Dr Davenport IA 52801-1014 Ph: (563) 336-3000 | Community Health Care - Dental 125 Scott St Davenport IA 52801-1130 Ph: (563) 336-3222 |
| NPI Number | 1598759029 |
|---|---|
| Provider Enumeration Date | 09/12/2005 |
| Last Update Date | 12/17/2013 |
| Medicare PECOS PAC ID | 9830008895 |
|---|---|
| Medicare Enrollment ID | O20140113001100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598759029 | NPI | - | NPPES |
| 0080200 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (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 |