DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GREAT RIVER ORAL AND MAXILLOFACIAL SURGERY PC

MEDICARE: GREAT RIVER ORAL AND MAXILLOFACIAL SURGERY PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QS0112XOral and Maxillofacial Surgery Clinic/Center

General Provider Information

NPI Number : 1992799811
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREAT RIVER ORAL AND MAXILLOFACIAL SURGERY PC
Provider Business Mailing Address
First Line : 100 BRYANT ST
Second Line :
City : DUBUQUE
State : IA
Zip : 52003-7405
Country : US
Telephone Number : 563-557-1440
Fax Number : 563-557-7001
Provider Business Practice Location Address
First Line : 100 BRYANT ST
Second Line :
City : DUBUQUE
State : IA
Zip : 52003-7405
Country : US
Telephone Number : 563-557-1440
Fax Number : 563-557-7001
Authorized Official
Title or Position : PRESIDENT
Name : THOMAS P WILLIAMS
Credential : DDS
Telephone Number : 563-557-1440
Provider Enumeration Date : 09/07/2005
Last Update Date : 08/22/2020

Similar Medicare Providers

1821082744 — DARYL E BEE DDS
Practice Location Address:
100 BRYANT ST
DUBUQUE, IA
52003-7405
Practice Phone: 563-557-1440
Practice Fax: 563-557-7001
1124012059 — MICHAEL J DALTON DDS
Practice Location Address:
100 BRYANT ST
DUBUQUE, IA
52003-7405
Practice Phone: 563-557-1440
Practice Fax: 563-557-7001
1922092865 — PAUL E DELONG DMD
Practice Location Address:
100 BRYANT ST
DUBUQUE, IA
52003-7405
Practice Phone: 563-557-1440
Practice Fax: 563-557-7001
1780678466 — THOMAS P WILLIAMS DDS
Practice Location Address:
100 BRYANT ST
DUBUQUE, IA
52003-7405
Practice Phone: 563-557-1440
Practice Fax: 563-557-7001
1235123936 — ANDREW M DEWITT DDS
Practice Location Address:
100 BRYANT ST
DUBUQUE, IA
52003-7405
Practice Phone: 563-557-1440
Practice Fax: 563-557-7001
1326245796 — DR. KIMBERLY VICTORIA PINGEL DDS
Practice Location Address:
100 BRYANT ST
DUBUQUE, IA
52003-7405
Practice Phone: 563-557-7001
Practice Fax:

Directions to “GREAT RIVER ORAL AND MAXILLOFACIAL SURGERY PC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.