Jersey Ridge Dental Associates

LBN: Jersey Ridge Dental Associates
Jersey Ridge Dental Associates is an health care organization with primary practice located at 5105 Jersey Ridge Road , Davenport IA 52807-3134. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Jersey Ridge Dental Associates can be contacted via phone (563) 359-9144, or through Samuelson, David L via phone (563) 359-9144.

Contact Information

Primary practice address
5105 Jersey Ridge Road Davenport IA 52807-3134
Phone: (563) 359-9144
Fax: (563) 359-9146
Website:
Map and Directions
Authorized official contact:
Name: Samuelson, David L
Phone: (563) 359-9144

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1194892521
LBN Legal business name Jersey Ridge Dental Associates
DBA Doing business as
Authorized official Samuelson, David L
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 24th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers