| Familia Dental Davenport Llc | |
|
3301 W Kimberly Rd Ste 5 Davenport IA 52806-3047 | |
| (888) 988-4066 | |
| (847) 496-4850 |
| Full Name | Familia Dental Davenport Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3301 W Kimberly Rd Ste 5, Davenport, Iowa |
| Authorized Official Name and Position | Brandon Alexander Taylor (CREDENTALING & PAYER RELATIONS MGR) |
| Authorized Official Contact | 8474537396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Familia Dental Davenport Llc 2050 E Algonquin Rd Ste 610 Suite 610 Schaumburg IL 60173-4166 Ph: (847) 453-7396 | Familia Dental Davenport Llc 3301 W Kimberly Rd Ste 5 Davenport IA 52806-3047 Ph: (888) 988-4066 |
| NPI Number | 1205287067 |
|---|---|
| Provider Enumeration Date | 06/23/2016 |
| Last Update Date | 06/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205287067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 09227 (Iowa) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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 |