# DEANNA L DAVIS DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smile Village Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649630757
- **Authorized official:** DR. DEANNA LYNN DAVIS D.D.S. (GENERAL DENTIST)
- **Authorized official phone:** (713) 817-2966

## Contact information

- **Practice address:** 12810 BROADWAY ST. STE, 110, PEARLAND, TX 77584-6707
- **Practice address phone:** (713) 817-2966
- **Mailing address:** 13207 BROAD BAY LN, PEARLAND, TX 77584-6707
- **Mailing address phone:** (713) 817-2966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22277 | TX | Yes |

## Other

- **Enumeration date:** 03/02/2016
- **Last updated:** 03/15/2016