Organization
DAVIDSON FAMILY DENTISTRY
Active
Other names
Dr David Davidson
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID W DAVIDSON DDS (OWNER)
(515) 279-3848
Entity
Organization
Contact information
Practice address
8573 URBANDALE AVE, URBANDALE, IA 50322
(515) 279-3848
(515) 279-4479
Mailing address
8573 URBANDALE AVE, URBANDALE, IA 50322
(515) 279-3848
(515) 279-4479
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6557
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005207
—
IA
01
—
170589
DELTA DENTAL OF IA
IA
01
—
4007496
WELLMARK BLUE DENTAL
IA
Enumeration date
04/23/2007
Last updated
06/18/2008
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