Organization
ELDRIDGE FAMILY DENTISTRY
Active
Other names
R. Scott Daniels, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT SCOTT DANIELS DDS (OWNER)
(563) 285-8662
Entity
Organization
Contact information
Practice address
201 N 6TH AVE, ELDRIDGE, IA 52748-1759
(563) 285-8662
(563) 285-1337
Mailing address
201 N 6TH AVE, ELDRIDGE, IA 52748-1759
(563) 285-8662
(563) 285-1337
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7239
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056085
—
IA
05
—
0056093
—
IA
Enumeration date
05/16/2008
Last updated
05/16/2008
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