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Contact Information

BETTENDORF DENTAL PC
2515 MAPLECREST ROAD
BETTENDORF, IA52722
 Phone: 563-332-1600
 Fax: 563-332-2219
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BETTENDORF DENTAL PC

NPI # 1013044684
LBN Legal business name BETTENDORF DENTAL PC
Authorized official CHRISTINE DAHL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/28/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
IA License # 06583
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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