# HENRY W. DAVIS JR., DDS III PLLC

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

## Provider details

- **NPI number:** 1346628187
- **Authorized official:** DR. HENRY W. DAVIS JR. D.D.S. (PRESIDENT)
- **Authorized official phone:** (910) 319-4060

## Contact information

- **Practice address:** 218 KEITH HILLS RD, LILLINGTON, NC 27546-9766
- **Practice address phone:** (910) 319-4060
- **Practice address fax:** (844) 700-0088
- **Mailing address:** 218 KEITH HILLS RD, LILLINGTON, NC 27546-9766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 054140 | NC | Yes |

## Other

- **Enumeration date:** 05/13/2015
- **Last updated:** 07/11/2016