Steven Robert Pletscher, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9034 Issued in MN

Practice address

623 Avenue of the Cities
Ridgewood Center
East Moline, IL 61244-4029

Phone

(309) 752-0350

Fax

(309) 752-0357

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Affordable Dentures - Quad Cities, P.C.

  • General Practice Dentistry
  • East Moline, IL
  • NPI 1356642268
  NPD (past) Authorized official

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1992810188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 AVENUE OF THE CITIES",
            "address_2": "RIDGEWOOD CENTER",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612444029",
            "telephone_number": "309-752-0350",
            "fax_number": "309-752-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 AVENUE OF THE CITIES",
            "address_2": "RIDGEWOOD CENTER",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612444029",
            "telephone_number": "309-752-0350",
            "fax_number": "309-752-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLETSCHER",
        "first_name": "STEVEN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D9034",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.027599",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy M Petosky, RD
• Anne M Petre, MD
• James E Petre, MD
• Nicholas Ryan Petre, MD
• Shelagh Phillips, PHARM.D.
• Erica Preslar
• Berlin Pruden
• Quad Cities Family Chiropractic L.L.C.
• Quest Diagnostics LLC
• Sallie Rainey, M.S., CCC-SLP

• General Practice Dentistry in East Moline, IL
• Providers in East Moline, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.