Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jersey Ridge Dental Associates

Organization General Practice Dentistry · NPI 1194892521

Jersey Ridge Dental Associates is a General Practice Dentistry in Davenport, Iowa. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

5105 Jersey Ridge Rd
Davenport, IA 52807-3134
Phone: (563) 359-9144
Fax: (563) 359-9146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1194892521
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Samuelson — Partner · (563) 359-9144
NPI enumeratedNovember 29, 2006
Last updated in NPPESJuly 24, 2008
Mailing address5105 Jersey Ridge Road, Davenport, IA 52807-3134

Other providers in Davenport