Marc C Slivken David A Johnson Thomas A Thol
LBN: Kimberly Park Dental Associates
Marc C Slivken David A Johnson Thomas A Thol is an health care organization with primary practice located at 3512 Jersey Ridge Rd , Davenport IA 52807-3332. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Kimberly Park Dental Associates can be contacted via phone (563) 359-3494, or through Thul, Thomas William via phone (563) 359-3494.
Contact Information
Primary practice address
3512 Jersey Ridge Rd
Davenport IA 52807-3332
Phone: (563) 359-3494
Fax:
Website:
Authorized official contact:
Name: Thul, Thomas William Doctor of Dental Surgery (DDS)
Phone: (563) 359-3494
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X |
Profile Details
| NPI number | 1689762494 |
|---|---|
| LBN Legal business name | Kimberly Park Dental Associates |
| DBA Doing business as | Marc C Slivken David A Johnson Thomas A Thol |
| Authorized official | Thul, Thomas William Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689762494 | NPPES |
| Iowa | Other | 710728 | BLUE CROSS S |
| Iowa | Other | 755644 | BLUE CROSS S |
| Iowa | Other | 709842 | BLUE CROSS S |
| Iowa | Other | 0099382 | BLUE CROSS S |
| Iowa | Other | 0096222 | BLUE CROSS S |
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