Provider Demographics
NPI:1457666232
Name:RIVERVIEW PARTNERS LLC
Entity Type:Organization
Organization Name:RIVERVIEW PARTNERS LLC
Other - Org Name:RIVERVIEW DENTAL SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:C
Authorized Official - Last Name:CANNON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:563-359-9165
Mailing Address - Street 1:1111 CANAL SHORE DR
Mailing Address - Street 2:
Mailing Address - City:LE CLAIRE
Mailing Address - State:IA
Mailing Address - Zip Code:52753
Mailing Address - Country:US
Mailing Address - Phone:563-355-1034
Mailing Address - Fax:563-359-1824
Practice Address - Street 1:1111 CANAL SHORE DR
Practice Address - Street 2:
Practice Address - City:LE CLAIRE
Practice Address - State:IA
Practice Address - Zip Code:52753
Practice Address - Country:US
Practice Address - Phone:563-355-1034
Practice Address - Fax:563-359-1824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty