# NATHANIEL DAVIS,DDS,PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114149374
- **Authorized official:** DR. NATHANIEL DAVIS DDS (DENTIST)
- **Authorized official phone:** (248) 350-9415

## Contact information

- **Practice address:** 24060 WEST 10 MILE, SUITE 101, SOUTHFIELD, MI 48033
- **Practice address phone:** (248) 350-9415
- **Practice address fax:** (248) 350-9412
- **Mailing address:** 24060 W 10 MILE RD, SUITE 101, SOUTHFIELD, MI 48033-3006
- **Mailing address phone:** (248) 350-9415
- **Mailing address fax:** (248) 350-9412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 06/26/2008