Provider Demographics
NPI:1689898603
Name:DENTISTRY UNLIMITED 1 PLC
Entity Type:Organization
Organization Name:DENTISTRY UNLIMITED 1 PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:WHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-359-9165
Mailing Address - Street 1:3520 UTICA RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-1620
Mailing Address - Country:US
Mailing Address - Phone:563-359-9165
Mailing Address - Fax:563-359-1824
Practice Address - Street 1:3520 UTICA RIDGE RD
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-1620
Practice Address - Country:US
Practice Address - Phone:563-359-9165
Practice Address - Fax:563-359-1824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA61101223G0001X
IA63131223G0001X
IA74731223G0001X
IA083541223G0001X
IA74981223P0221X
IA78541223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Not Answered1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty