Organization
MCDEVITT DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LACEY MCDEVITT DDS (OWNER)
(563) 557-0500
Entity
Organization
Contact information
Practice address
3432 DODGE ST, SUITE 102, DUBUQUE, IA 52003-5277
(563) 557-0500
(563) 556-3294
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8549
IA
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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