Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Jersey Ridge Dental Associates

General Practice Dentistry in Davenport, IA · enumerated 2006 · authorized official David Samuelson, Partner.

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

National Provider Identifier

1194892521

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Registry record

Entity type Organization (Type 2)

Legal business name Jersey Ridge Dental Associates

Practice address 5105 Jersey Ridge Road, Davenport, IA, 52807

Phone (563) 359-9144

Fax (563) 359-9146

Enumeration date Nov 29, 2006

Last updated in NPPES Jul 24, 2008

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name David Samuelson

Title Partner

Phone (563) 359-9144

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 2008-07-24. Verify at npiregistry.cms.hhs.gov.

Where is Jersey Ridge Dental Associates located?

The practice location on file with NPPES is in Davenport, IA.

Providers at this address

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Howard Robertson General Practice Dentistry · Davenport, IA NPI 1083791479

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-24.