MR. ALEX J BRANDTNER (NPI# 1154382091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154382091 |
| Entity Type | Individual |
| Full Name | MR. ALEX J BRANDTNER |
| Credential | DDS MS |
| Practice Address |
5108 Jersey Ridge Rd Ste B Davenport IA 52807 |
| Practice Telephone | 5633550437 |
| Practice Fax Number | 5633552742 |
| Mailing Telephone | 5633550437 |
| Mailing Fax Number | 5633552742 |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
06736 | IA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0207837 | 05 |
| Street Address |
5108 JERSEY RIDGE RD STE B |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
| 1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
| 1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
| 1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
| 1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
| 1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
| 1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
| 1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
| 1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
| 1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
| Find all providers in zip 52807 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861883670 | Reem Oweis | Dentist | 125 Scott St, Davenport, IA 52801 | 2015-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528681897 | The Children's Dental Center, Pllc | Dentist | 2761 Oakdale Blvd Ste 4, Coralville, IA 52241-9754 | 2020-05-21 |
| 1659934701 | Grimes Pediatric Dentistry P C | Dentist | 1551 Se 3rd St Ste 100, Grimes, IA 50111-8861 | 2019-04-15 |
| 1215316633 | Kaitlin Joy Hoogeveen | Dentist | 164 S Main Ave, Sioux Center, IA 51250-1536 | 2015-05-19 |
| 1760801062 | Diana Pelzer | Dentist | 1250 Se University Ave, Waukee, IA 50263-8831 | 2014-04-15 |
| 1245656800 | Iowa Pediatric Dental Center II LLC | Dentist | 5350 Kirkwood Blvd Sw, Suite 700, Cedar Rapids, IA 52404-5233 | 2014-03-06 |
| 1528483716 | Peter Joseph Stanley | Dentist | 201 Dental Science Bldg S., Iowa City, IA 52242-1001 | 2014-02-24 |
| 1821433160 | Nicholas Wade Barnard | Dentist | 4090 Westown Pkwy Ste B1, West Des Moines, IA 50266 | 2013-04-30 |
| 1962745471 | Samuel Christensen | Dentist | 2575 N Ankeny Blvd Ste 205, Ankeny, IA 50023-4710 | 2013-04-03 |
| 1477818326 | Julie Ann Smith | Dentist | 800 E 1st St Ste 2800, Ankeny, IA 50021-2077 | 2012-07-06 |
| 1043507890 | Molly Bremen | Dentist | 7600 Fleur Dr, Des Moines, IA 50321-3111 | 2011-06-30 |
| Find all providers with the same taxonomy | ||||
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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.