FAMILIA DENTAL DAVENPORT LLC (NPI# 1205287067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205287067 |
Entity Type | Organization |
Organization Name | FAMILIA DENTAL DAVENPORT LLC |
Practice Address |
3301 W Kimberly Rd Ste 5 Davenport IA 52806-3047 |
Mailing Address |
2050 E Algonquin Rd Ste 610 Suite 610 Schaumburg IL 60173-4166 |
Practice Telephone | 8889884066 |
Practice Fax Number | 8474964850 |
Mailing Telephone | 8889884066 |
Mailing Fax Number | 8474964850 |
Enumeration Date | 2016-06-23 |
Last Update Date | 2016-06-23 |
Authorized Official Name | KOUSHAN AZAD (OWNER) |
Authorized Official Telephone | 8889884066 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
09227 | IA | Dental Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | FAMILIA DENTAL DAVENPORT LLC | 3301 W Kimberly Rd. Ste 5, Davenport, IA 52806 |
Street Address |
3301 W KIMBERLY RD STE 5 |
City | DAVENPORT |
State | IA |
Zip Code | 52806-3047 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730799677 | Rong Zheng | Dentist | 3301 W Kimberly Rd Ste 5, Davenport, IA 52806-3047 | 2020-08-05 |
1871071621 | So Eun Park | Dentist | 3301 W Kimberly Rd Ste 5, Davenport, IA 52806-3047 | 2018-08-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912543257 | June Swain | Nurse Practitioner | Quad City Family Physician, 3940 Marquette Street, Davenport, IA 52806 | 2019-11-21 |
1881055747 | Jace Carter | Chiropractor | 235 West 35th Street Suite 2d, Davenport, IA 52806 | 2016-03-18 |
1538468210 | Cody Krech | Dentist | 141 E 46th St, Davenport, IA 52806 | 2011-03-21 |
1619287216 | Robert Earl Clark | Occupational Therapist | 6623 N Main St, Davenport, IA 52806 | 2010-10-15 |
1689902579 | Nicholas P. Carlson | Nurse Practitioner | 3801 Marguette Street, Suite 200, Davenport, IA 52806 | 2009-12-03 |
1295821114 | David Lee Botsko | Dentist | 2334 W. Kimberly Road, Davenport, IA 52806 | 2006-10-05 |
1598712903 | Select Specialty Hospital - Quad Cities Inc | Long Term Care Hospital | 1111 West Kimberly Road, Davenport, IA 52806 | 2006-05-30 |
1528030350 | Warren Wright | Occupational Therapist | 1008 W 35th St, Davenport, IA 52806 | 2006-02-06 |
1144291568 | Gerald Wallace Hess | Chiropractor | 2711 W 63rd St, Ste #1, Davenport, IA 52806 | 2006-02-01 |
1487642286 | Virginia Armstrong | Chiropractor | 4811 N Brady St Ste 1a, Davenport, IA 52806 | 2005-10-06 |
Find all providers in zip 52806 |
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 |
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 |
1083878896 | Jolene Marie Dague | Dentist | 1905 N. Main St, Davenport, IA 52803 | 2008-07-11 |
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.