Bettendorf Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

06583 Issued in IA

Legal business name

BETTENDORF DENTAL PC

Practice address

2515 Maplecrest Road
Bettendorf, IA 52722

Phone

(563) 332-1600

Fax

(563) 332-2219

NPI assigned

Feb 28, 2007

Organization subpart

No

Name

Dr. Christine L Dahl, DDSNPI 1730345661

Title

President

Phone

(563) 332-1600

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine L Dahl, DDS

  • Dentist
  • Bettendorf, IA
  • NPI 1730345661

  General Practice

  NPD (past) Authorized official
• Miranda Foster, DDS

  • General Practice Dentistry
  • Bettendorf, IA
  • NPI 1043736473

  General Practice

  NPD (past)
• Kirk J Hansen, D.D.S.

  • General Practice Dentistry
  • Bettendorf, IA
  • NPI 1639300585

  General Practice

  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013044684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 MAPLECREST ROAD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "52722",
            "telephone_number": "563-332-1600",
            "fax_number": "563-332-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 MAPLECREST ROAD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "52722",
            "telephone_number": "563-332-1600",
            "fax_number": "563-332-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTENDORF DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-332-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "06583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenton Benson
• Bergthold Chiropractic Inc
• Mark Jerome Bergthold, DC
• Bettendorf Community School District
• Bettendorf Counseling Center PLLC
• Bettendorf Healthcare Management LLC
• Bettendorf Ia SNF Opco LLC
• Bettendorf Nursing and Rehabilitation LLC
• Bettendorf Nursing Home Company
• Bettendorf Pediatric Group

• All providers in Bettendorf, IA
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.