Main Family Dental Care

LBN: Main Family Dental Care
Main Family Dental Care is an health care organization with primary practice located at 1905 N Main St , Davenport IA 52803-2908. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Main Family Dental Care can be contacted via phone (563) 323-2571, or through Griebahn, Lynn Raymnod via phone (563) 323-2571.

Contact Information

Primary practice address
1905 N Main St Davenport IA 52803-2908
Phone: (563) 323-2571
Fax: (563) 323-1069
Website:
Map and Directions
Authorized official contact:
Name: Griebahn, Lynn Raymnod Doctor of Dental Surgery (DDS)
Phone: (563) 323-2571

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 6943 Iowa

Profile Details

NPI number 1982769386
LBN Legal business name Main Family Dental Care
DBA Doing business as
Authorized official Griebahn, Lynn Raymnod Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982769386 NPPES
Iowa MEDICAID 0431924

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