Dr. Michael Fleener
Oral and Maxillofacial Surgeon
5345 Spring St
Davenport
, Iowa 52807-2764
Dr. Michael Fleener
Oral and Maxillofacial Surgeon
5345 Spring St
Davenport
, Iowa 52807-2764
(359) 355-7111
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Michael Fleener
- 5345 Spring St
- Davenport, IA
- Zip : 52807-2764
- Fax : (359) 355-7111
- Phone : (563) 359-1601
Second Address
- Dr. Michael Fleener
- 5345 Spring St
- Davenport, IA
- Zip : 52807-2764
- Fax : (359) 355-7111
- Phone : (563) 359-1601
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 5840 | IA |
National Provider Identifier
| NPI | 1043279888 |
|---|---|
| Provider Name | Dr. Michael Fleener |
| First Address | Davenport, IA 52807-2764 |
| Second Address | Davenport, IA 52807-2764 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/03/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0155507 | (05) | IA |
| 2155507 | (05) | IA |
| T00921 | (02) | IA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.