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MARC C SLIVKEN DAVID A JOHNSON THOMAS A THOL
NPI 1689762494
Dentist in Davenport, IA

Active since October 10, 2006
3512 JERSEY RIDGE RD, DAVENPORT, IA 52807(563) 359-3494 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marc C Slivken David A Johnson Thomas A Thol NPPES

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

MARC C SLIVKEN DAVID A JOHNSON THOMAS A THOL (NPI 1689762494) is a healthcare organization registered as a dentist in Davenport, Iowa and active in the NPI registry since October 2006. The organization lists Thomas William Thul, President Dentist, as its authorized official.

NPPES Registry Identity

NPI1689762494
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameKIMBERLY PARK DENTAL ASSOCIATES
Location Address3512 JERSEY RIDGE RDDavenport, IA 52807-3332
Mailing Address3512 Jersey Ridge RdDavenport, IA 52807-3332
Phone(563) 359-3494
Organization SubpartNo
Authorized OfficialThomas William ThulPresident Dentist · (563) 359-3494
Enumeration DateOctober 10, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1689762494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3512 JERSEY RIDGE RD, Davenport, IA 52807
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Other Names 1

Other NameMarc C Slivken David A Johnson Thomas A Thol

Other Identifiers 5

Other755644IA · Blue Cross J
Other0099382IA · Slivken
Other0096222IA · Johnson
Other709842IA · Blue Cross T
Other710728IA · Blue Cross S

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 3

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

MARC CHARLES SLIVKEN DDS
Dentist (General Practice)
3512 JERSEY RIDGE RD
DAVENPORT, IA 52807
Scott County (563) 359-3494
THOMAS WILLIAM THUL DDS
Dentist (General Practice)
3512 JERSEY RIDGE RD
DAVENPORT, IA 52807
Scott County (563) 359-3494
DR. DAVID ALAN JOHNSON DDS
Dentist (General Practice)
3512 JERSEY RIDGE RD
DAVENPORT, IA 52807
Scott County (536) 359-3494

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 Kimberly Park Dental Associates's NPI number?

The NPI number for Kimberly Park Dental Associates is 1689762494. It was assigned to this organization in the NPPES registry on October 10, 2006. The provider is also known as Marc C Slivken David A Johnson Thomas A Thol.

Where is Kimberly Park Dental Associates located?

Kimberly Park Dental Associates is located at 3512 Jersey Ridge Rd, Davenport, IA 52807. The listed phone number is (563) 359-3494.

What is Kimberly Park Dental Associates's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Kimberly Park Dental Associates was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.