# ANTHONY B DEXTER A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164956371
- **Authorized official:** ANTHONY B. DEXTER DC (PRESIDENT)
- **Authorized official phone:** (563) 396-4697

## Contact information

- **Practice address:** 2178 E KIMBERLY RD STE 400, DAVENPORT, IA 52807-2230
- **Practice address phone:** (563) 396-4697
- **Mailing address:** 25139 252ND AVE, PRINCETON, IA 52768-9721
- **Mailing address phone:** (701) 570-5648

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 074741 | IA | Yes |

## Other

- **Enumeration date:** 04/13/2017
- **Last updated:** 10/17/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 074741 | DC LICENSE | IA |
