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Mississippi Valley Oral & Maxillofacial Surgery PC

Oral and Maxillofacial Surgery (Dentist) in Davenport, IA · enumerated 2008 · authorized official David Anderson, Owner/Doctor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1144490707

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Registry record

Entity type Organization (Type 2)
Legal business name Mississippi Valley Oral & Maxillofacial Surgery PC
Practice address 2305 E 52nd St, Suite 1, Davenport, IA, 52807
Fax (563) 355-0180
Enumeration date Mar 10, 2008
Last updated in NPPES Mar 11, 2008

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 7637 (IA) Primary
1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 7766 (IA) Secondary
1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 7839 (IA) Secondary

Authorized official

Name David Anderson
Title Owner/Doctor

Other identifiers

Identifier Type State Issuer
0205898 Medicaid IA -
009776 Medicaid IA -
0123224 Medicaid IA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-03-11. Verify at npiregistry.cms.hhs.gov.
Where is Mississippi Valley Oral & Maxillofacial Surgery PC located?
The practice location on file with NPPES is in Davenport, IA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-03-11.