Individual
KELSEY DEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
125 SCOTT ST, DAVENPORT, IA 52801-1130
(563) 336-3000
(563) 336-3229
Mailing address
500 W RIVER DR, DAVENPORT, IA 52801-1014
(563) 336-3000
(563) 336-3014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019031251
IL
1223G0001X
General Practice Dentistry
Primary
09389
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019031251
IL DENTAL
IL
01
—
DDS-09389
IOWA DENTAL LICENSE
IA
Enumeration date
06/15/2017
Last updated
11/13/2023
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