DR. JOLENE MARIE DAGUE (NPI# 1083878896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083878896 |
| Entity Type | Individual |
| Full Name | DR. JOLENE MARIE DAGUE |
| Other Name | DR. JOLENE MARIE HERMES |
| Credential | DDS |
| Practice Address |
1905 N. Main St Davenport IA 52803 |
| Practice Telephone | 5633232571 |
| Mailing Telephone | 5633232571 |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2015-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DDS-08542 | IA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
08542 | IA | Dental Providers |
| Street Address |
1905 N. MAIN ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1215383070 | Brittney N Hughes | Nurse Practitioner | 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 | 2016-05-11 |
| 1992138747 | Sarah Beth Schlickman | Nurse Practitioner | 1228 E Rusholme St Ste 3020, Davenport, IA 52803 | 2013-08-15 |
| 1154763845 | Leslie A Poston | Nurse Practitioner | 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 | 2013-07-23 |
| 1952436370 | Joann C Milani | Psychologist | 1503 Brady Street, Davenport, IL 52803 | 2007-02-23 |
| 1942343579 | Lisa Clare Ploehn | Pharmacist | 129 West Locust Street, Davenport, IA 52803 | 2007-02-14 |
| 1366597957 | Cathleen Ann Clark | Social Worker | 1706 N Brady, Suite 204, Davenport, IA 52803 | 2007-01-24 |
| 1184781940 | William Burke Ltd | Durable Medical Equipment & Medical Supplies | 129 West Locust, Davenport, IA 52803 | 2007-01-02 |
| 1588720122 | Kathy Peters | Chiropractor | 506 East Locust St, Davenport, IA 52803 | 2006-12-28 |
| Find all providers in zip 52803 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093349284 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 202 Ronald Reagan Pkwy, Davenport, FL 33896-9606 | 2020-02-26 |
| 1952958167 | Skyline Dental Services, LLC | Dentist | 2180 W Kimberly Rd # 8, Davenport, IA 52806-5368 | 2019-08-22 |
| 1710549324 | Gnf Dental Group, P.a. | Dentist | 2300 Deer Creek Commerce Ln Ste 500, Davenport, FL 33837-6848 | 2019-07-03 |
| 1679039002 | Clayton Schommer | Dentist | 2010 E 38th St Ste 105, Davenport, IA 52807-1179 | 2019-02-11 |
| 1205287067 | Familia Dental Davenport LLC | Dentist | 3301 W Kimberly Rd Ste 5, Davenport, IA 52806-3047 | 2016-06-23 |
| 1386040962 | Best Smiles Family Dental Qc | Dentist | 2180 W Kimberly Rd, Space #8, Davenport, IA 52806-5368 | 2014-11-10 |
| 1801204292 | Sowmya Mysore Rajagopal | Dentist | 2180 W Kimberly Rd Spc 8, Davenport, IA 52806-5368 | 2014-07-29 |
| 1770865404 | Ashu Malhotra | Dentist | 5270 Elmore Ave Ste 4, Davenport, IA 52807-3466 | 2011-09-20 |
| 1538468210 | Cody Krech | Dentist | 141 E 46th St, Davenport, IA 52806 | 2011-03-21 |
| 1245469881 | Dustin Michael Smolenski | Dentist | 5105 Jersey Ridge Rd, Davenport, IA 52807-3134 | 2009-07-03 |
| Find all providers in DAVENPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.