MAIN FAMILY DENTAL CARE (NPI# 1982769386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982769386 |
| Entity Type | Organization |
| Organization Name | MAIN FAMILY DENTAL CARE |
| Practice Address |
1905 N Main St Davenport IA 52803-2908 |
| Practice Telephone | 5633232571 |
| Practice Fax Number | 5633231069 |
| Mailing Telephone | 5633232571 |
| Mailing Fax Number | 5633231069 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LYNN RAYMNOD GRIEBAHN JR. (PRESIDENT) |
| Authorized Official Telephone | 5633232571 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
6943 | IA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0431924 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | MAIN FAMILY DENTAL CARE, P.C. | 3590 Utah Ave Ne, Iowa City, IA 52240 |
| Street Address |
1905 N MAIN ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52803-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548349954 | Lynn Raymond Griebahn Jr. | Dentist | 1905 N Main St, Davenport, IA 52803-2908 | 2006-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1215383070 | Brittney N Hughes | Nurse Practitioner | 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 | 2016-05-11 |
| 1992138747 | Sarah Beth Schlickman | Nurse Practitioner | 1228 E Rusholme St Ste 3020, Davenport, IA 52803 | 2013-08-15 |
| 1154763845 | Leslie A Poston | Nurse Practitioner | 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 | 2013-07-23 |
| 1083878896 | Jolene Marie Dague | Dentist | 1905 N. Main St, Davenport, IA 52803 | 2008-07-11 |
| 1952436370 | Joann C Milani | Psychologist | 1503 Brady Street, Davenport, IL 52803 | 2007-02-23 |
| 1942343579 | Lisa Clare Ploehn | Pharmacist | 129 West Locust Street, Davenport, IA 52803 | 2007-02-14 |
| 1366597957 | Cathleen Ann Clark | Social Worker | 1706 N Brady, Suite 204, Davenport, IA 52803 | 2007-01-24 |
| 1184781940 | William Burke Ltd | Durable Medical Equipment & Medical Supplies | 129 West Locust, Davenport, IA 52803 | 2007-01-02 |
| Find all providers in zip 52803 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336511120 | Kathryn A. Kell Dds PC | Clinic/Center | 1751 E 54th St, Davenport, IA 52807-2769 | 2015-10-20 |
| 1013184217 | Quad Cities Periodontics, LLC | Clinic/Center | 1800 E 54th St, Suite A, Davenport, IA 52807-2852 | 2008-05-15 |
| 1831110790 | Qc Family Dentistry | Clinic/Center | 2002 N Fairmount St, Davenport, IA 52804-2808 | 2006-07-23 |
| 1598759029 | Community Health Care, Inc. | Clinic/Center | 125 Scott St, Davenport, IA 52801-1130 | 2005-09-12 |
| 1558852277 | R & R Family Dentistry | Clinic/Center | 3435 Spring St Ste 2, Davenport, IA 52807-2142 | 2018-05-29 |
| 1841746633 | Davenport Family Dentistry | Clinic/Center | 707 Logan St, Davenport, WA 99122-1312 | 2016-08-31 |
| 1891940789 | Knute J Hernas Dds Ps | Clinic/Center | 100 3rd St, Suite 3, Davenport, WA 99122-5008 | 2008-11-19 |
| 1033378120 | William H Bausch Dds PC | Clinic/Center | 3575 Jersey Ridge Rd, Davenport, IA 52807-2292 | 2008-06-04 |
| 1518124460 | Steven P Anderson | Clinic/Center | 2208 E 52nd St, Davenport, IA 52807-2726 | 2008-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253068 | Wright County Family Dental | Clinic/Center | 1403 Central Ave W, Clarion, IA 50525-7707 | 2020-10-23 |
| 1497371397 | Carlisle Family Dentistry Pllc | Clinic/Center | 2800 Norgard Cir Ste 200, Carlisle, IA 50047-8000 | 2020-06-17 |
| 1457996365 | Dentistry for Children of Iowa 2, Pllc | Clinic/Center | 1738 Lininger Ln, North Liberty, IA 52317-2316 | 2019-11-14 |
| 1235784992 | E. Joseph Lenz Dds PC Family Dentistry | Clinic/Center | 890 7th Ave, Marion, IA 52302-5747 | 2019-08-08 |
| 1114490794 | Abbadent Dental LLC | Clinic/Center | 3430 Dodge St Unit 21, Dubuque, IA 52003-5218 | 2019-01-07 |
| 1952819369 | Jared P. Sass D.d.s Plc | Clinic/Center | 6800 Lake Dr Ste 290, West Des Moines, IA 50266-2544 | 2018-01-19 |
| 1114439429 | Stuart Family Dental PC | Clinic/Center | 303 Se 7th Street, Suite D, Stuart, IA 50250 | 2017-10-26 |
| 1881129906 | Indian Hills Community College Dental Hygiene Clinic | Clinic/Center | 525 Grandview Ave, Ottumwa, IA 52501-1359 | 2017-04-26 |
| 1164807145 | Bradley Scott Williams D.d.s. | Clinic/Center | 205 S 16th St, Clarinda, IA 51632-2107 | 2015-07-20 |
| 1326454042 | Corridor Endodontics PC | Clinic/Center | 550 Pond View Dr, Suite 2, North Liberty, IA 52317-2507 | 2014-07-02 |
| Find all providers with the same taxonomy | ||||
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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.