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MISSISSIPPI VALLEY ORAL & MAXILLOFACIAL SURGERY PC
NPI 1144490707
Dentist - Oral and Maxillofacial Surgery in Davenport, IA

Active since March 10, 2008
2305 E 52ND ST, SUITE 1, DAVENPORT, IA 52807(563) 355-9424(563) 355-0180 Get Directions Write a Review

NPPES record last updated: March 11, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mississippi Valley Oral & Maxillofacial Surgery Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISSISSIPPI VALLEY ORAL & MAXILLOFACIAL SURGERY PC (NPI 1144490707) is a healthcare organization registered as an oral and maxillofacial surgery in Davenport, Iowa and active in the NPI registry since March 2008. The organization lists David A Anderson, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1144490707
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameMISSISSIPPI VALLEY ORAL & MAXILLOFACIAL SURGERY PC
Location Address2305 E 52ND ST, SUITE 1Davenport, IA 52807-2762
Mailing Address2305 E 52nd St, Suite 1Davenport, IA 52807-2762 · (563) 355-9424 · Fax (563) 355-0180
Phone(563) 355-9424
Fax(563) 355-0180
Organization SubpartNo
Authorized OfficialDavid A AndersonOwner/doctor · (563) 355-9424
Enumeration DateMarch 10, 2008
Last NPPES UpdateMarch 11, 2008
✔ NPI 1144490707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in IA · 7637✔ Licensed in IA · 7766✔ Licensed in IA · 7839
Definition

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.

2305 E 52ND ST, Davenport, IA 52807
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Other Identifiers 4

Medicaid0205898IA
Medicare PIN21688IA
Medicaid009776IA
Medicaid0123224IA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID ALLEN ANDERSON DDS
Oral & Maxillofacial Surgery
2305 E 52ND ST, SUITE 1
DAVENPORT, IA 52807
Scott County (563) 355-9424
DR. ERIC A MILCH DMD
Dentist (Oral and Maxillofacial Surgery)
2305 E 52ND ST, SUITE 1
DAVENPORT, IA 52807
Scott County (563) 355-9424
DR. THOMAS GERALD HUESER DDS
Dentist (Oral and Maxillofacial Surgery)
2305 E 52ND ST, SUITE 1
DAVENPORT, IA 52807
Scott County (563) 355-9424

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mississippi Valley Oral & Maxillofacial Surgery PC's NPI number?

The NPI number for Mississippi Valley Oral & Maxillofacial Surgery PC is 1144490707. It was assigned to this organization in the NPPES registry on March 10, 2008.

Where is Mississippi Valley Oral & Maxillofacial Surgery PC located?

Mississippi Valley Oral & Maxillofacial Surgery PC is located at 2305 E 52nd St Suite 1, Davenport, IA 52807. The listed phone number is (563) 355-9424.

What is Mississippi Valley Oral & Maxillofacial Surgery PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Mississippi Valley Oral & Maxillofacial Surgery PC was last updated on March 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.