McDevitt Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8549 Issued in IA

Legal business name

MCDEVITT DENTAL PC

Practice address

3432 Dodge St
Suite 102
Dubuque, IA 52003-5277

Phone

(563) 557-0500

Fax

(563) 556-3294

NPI assigned

May 18, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lacey McDevitt, DDS

Title

Owner

Phone

(563) 557-0500

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1518345990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189",
            "telephone_number": "315-454-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3432 DODGE ST",
            "address_2": "SUITE 102",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520035277",
            "telephone_number": "563-557-0500",
            "fax_number": "563-556-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDEVITT DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "MCDEVITT",
        "authorized_official_first_name": "LACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-557-0500",
        "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": "8549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie McCormick
• Angelique McCoy
• Amy McDermott, ARNP
• Carrie Jo McDermott
• Catherine Ann McDermott, M.S,W,
• Maureen Amanda McDonagh, DNP, ARNP, PMHNP-BC,
• Sherry McDonell
• Amy Marie McFadden-Decker, P.T.
• Andrew M McFadden, CCC-SLP
• Amy Jo McGill, A.R.N.P

• General Practice Dentistry in Dubuque, IA
• Providers in Dubuque, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.