Main Family Dental Care

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6943 Issued in IA

Legal business name

MAIN FAMILY DENTAL CARE

Practice address

1905 N Main St
Davenport, IA 52803-2908

Phone

(563) 323-2571

Fax

(563) 323-1069

NPI assigned

Dec 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lynn Raymnod Griebahn Jr., DDSNPI 1548349954

Title

President

Phone

(563) 323-2571

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lynn Raymond Griebahn Jr., DDS

  • General Practice Dentistry
  • Davenport, IA
  • NPI 1548349954
  NPD (past) Authorized official
• Jolene Marie Dague, DDS

  • General Practice Dentistry
  • Davenport, IA
  • NPI 1083878896
  NPD (past)
• Jacob Inghram

  • General Practice Dentistry
  • Oskaloosa, IA
  • NPI 1609730316
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982769386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 N MAIN ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032908",
            "telephone_number": "563-323-2571",
            "fax_number": "563-323-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 N MAIN ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032908",
            "telephone_number": "563-323-2571",
            "fax_number": "563-323-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN FAMILY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIEBAHN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "RAYMNOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-323-2571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "6943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0431924",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph S Maciejko, PH.D.
• Madison County Medical Equipment, Inc. (AeroCare)
• Akshay Kantilal Mahadevia, MD
• Geeta Mahadevia, M.D.
• Emily Cathryn Maiers, ARNP
• Main Street Health Partners, P.C. (Main Street Health Medical Partners-Iowa)
• Melinda Sue Malchow, ARNP
• Ashu Malhotra, DDS
• Dennis P. Malik, D.C.
• Daniel Malloy

• Dental Clinic/Center in Davenport, IA
• Providers in Davenport, IA by specialty
• Dental Clinic/Center 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.