MISSISSIPPI VALLEY ORAL & MAXILLOFACIAL SURGERY PC NPI 1144490707

NPI Information

MISSISSIPPI VALLEY ORAL & MAXILLOFACIAL SURGERY PC is an oral and maxillofacial surgery dentist in Davenport, IA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. MISSISSIPPI VALLEY ORAL & MAXILLOFACIAL SURGERY PC NPI is 1144490707. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2305 E 52ND ST
SUITE 1
DAVENPORT, IA
ZIP 52807-762
Phone: (563) 355-9424
Fax: (563) 355-0180

The provider's authorized official is David A Anderson .
The authorized official title is Owner/doctor and has the following contact phone number (563) 355-9424.

The enumeration date for this NPI number is 3/10/2008 and was last updated on 3/11/2008.

Taxonomy Codes

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