Organization
DUBUQUE DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT N KILBURG DDS (DENTIST)
(563) 556-4234
Entity
Organization
Contact information
Practice address
1890 JOHN F KENNEDY RD, DUBUQUE, IA 52002
(563) 556-4234
(563) 556-0597
Mailing address
1890 JOHN F KENNEDY RD, DUBUQUE, IA 52002
(563) 556-4234
(563) 556-0597
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
05476
IA
1223G0001X
General Practice Dentistry
Primary
08217
IA
1223G0001X
General Practice Dentistry
08420
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015818
—
IA
05
—
0081927
—
IA
05
—
0499004
—
IA
01
—
05476
DR HEYO TJARKS LICENSE
—
01
—
05855
DR JOHN MULLEN LICENSE
—
01
—
0762348
DR JOHN MULLEN UNITED CON
—
01
—
08217
DR BRETT KILBURG LICENSE
—
01
—
08420
DR MELANIE STUNT LICENSE
—
05
—
1295196
—
IA
01
—
1611620
DR BRETT KILBURG UNITED C
—
01
—
1895652
DR MELANIE STUNT UNITED C
—
01
—
478500357
DR HEYO TJARKS SS
—
01
—
479026247
DR BRETT KILBURG SS
—
01
—
480084209
DR MELANIE STUNT SS
—
01
—
485525932
DR JOHN MULLEN SS
—
Enumeration date
12/14/2006
Last updated
08/14/2013
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