Organization
SCOTT ALPEN DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT ALPEN DDS (OWNER)
(563) 322-4433
Entity
Organization
Contact information
Practice address
3575 JERSEY RIDGE RD, SUITE 1, DAVENPORT, IA 52807-2292
(563) 322-4433
(563) 355-5217
Mailing address
3575 JERSEY RIDGE RD, SUITE 1, DAVENPORT, IA 52807-2292
(563) 322-4433
(563) 355-5217
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7304
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0048157
—
IA
Enumeration date
02/19/2007
Last updated
08/22/2020
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