JERSEY RIDGE DENTAL ASSOCIATES
NPI 1194892521
Dentist - General Practice in Davenport, IA

Q: What is Jersey Ridge Dental Associates's NPI number?

The NPI number for Jersey Ridge Dental Associates is 1194892521. It was assigned to this organization in the NPPES registry on November 29, 2006.

Q: What is Jersey Ridge Dental Associates's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since November 29, 2006

5105 JERSEY RIDGE ROAD, DAVENPORT, IA 52807(563) 359-9144(563) 359-9146 Get Directions Write a Review

NPPES record last updated: July 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Jersey Ridge Dental Associates NPPES

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

JERSEY RIDGE DENTAL ASSOCIATES (NPI 1194892521) is a healthcare organization registered as a general practice in Davenport, Iowa and active in the NPI registry since November 2006. The organization lists David L Samuelson, Partner, as its authorized official.

NPPES Registry Identity

NPI1194892521

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameJERSEY RIDGE DENTAL ASSOCIATES

Location Address5105 JERSEY RIDGE ROADDavenport, IA 52807-3134

Mailing Address5105 Jersey Ridge RoadDavenport, IA 52807-3134 · (563) 359-9144 · Fax (563) 359-9146

Phone(563) 359-9144

Fax(563) 359-9146

Organization SubpartNo

Authorized OfficialDavid L SamuelsonPartner · (563) 359-9144

Enumeration DateNovember 29, 2006

Last NPPES UpdateJuly 24, 2008

✔ NPI 1194892521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

5105 JERSEY RIDGE ROAD, Davenport, IA 52807

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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. HOWARD DOUGLAS ROBERTSON DDS

Dentist (General Practice)

5105 JERSEY RIDGE ROAD
DAVENPORT, IA 52807

Scott County (563) 359-9144

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 Jersey Ridge Dental Associates's NPI number?

The NPI number for Jersey Ridge Dental Associates is 1194892521. It was assigned to this organization in the NPPES registry on November 29, 2006.

Where is Jersey Ridge Dental Associates located?

Jersey Ridge Dental Associates is located at 5105 Jersey Ridge Road, Davenport, IA 52807. The listed phone number is (563) 359-9144.

What is Jersey Ridge Dental Associates's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jersey Ridge Dental Associates was last updated on July 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.