# CLARA P DAVIS, DDS, PLLC

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

## Provider details

- **NPI number:** 1578735080
- **Authorized official:** DR. CLARA POWELL DAVIS DDS (MEMBER/MANAGER)
- **Authorized official phone:** (919) 598-9001

## Contact information

- **Practice address:** 121 SHERRON RD, SUITE 108, DURHAM, NC 27703-9515
- **Practice address phone:** (919) 598-0780
- **Practice address fax:** (919) 598-0781
- **Mailing address:** 121 SHERRON RD, SUITE 108, DURHAM, NC 27703-9515
- **Mailing address phone:** (919) 598-0780
- **Mailing address fax:** (919) 598-0781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7166 | NC | Yes |

## Other

- **Enumeration date:** 03/25/2008
- **Last updated:** 06/19/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 899016M | — | NC |
| 01 | — | 9016M | BCBS | NC |