Active NPI
Dague Dental Solutions
- Dentist
- Davenport, IA
National Provider Identifier
1740756139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- DAGUE DENTAL SOLUTIONS
- Practice address
- 4711 N Brady St Ste 5S
Davenport, IA 52806-3955 - Phone
- (563) 386-9770
- NPI assigned
- Oct 23, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jolene Marie Dague, DDS
- Title
- Owner
- Phone
- (563) 357-4917
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
4711 N Brady St Ste 5S
Davenport, IA 52806-3955
Mailing address
6446 Caves Rd
Maquoketa, IA 52060-9795
Phone (563) 357-4917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083878896 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
4711 N Brady St
Ste 5S
Davenport, IA 52806
Phone (563) 386-9770
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Davenport, IA
- NPI 1164641007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540252800000",
"number": "1740756139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6446 CAVES RD",
"city": "MAQUOKETA",
"state": "IA",
"postal_code": "520609795",
"telephone_number": "563-357-4917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4711 N BRADY ST STE 5S",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528063955",
"telephone_number": "563-386-9770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAGUE DENTAL SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-23",
"last_updated": "2018-10-23",
"status": "A",
"authorized_official_last_name": "DAGUE",
"authorized_official_first_name": "JOLENE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "563-357-4917",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1083878896",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.