# DAVID M DEVIESE DDS PC

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

## Provider details

- **NPI number:** 1659544617
- **Authorized official:** DR. DAVID MYERS DEVIESE DDS (OWNER)
- **Authorized official phone:** (540) 948-4488

## Contact information

- **Practice address:** 306 S MAIN ST, MADISON, VA 22727-3026
- **Practice address phone:** (540) 948-4488
- **Practice address fax:** (540) 948-4662
- **Mailing address:** PO BOX 304, MADISON, VA 22727-0304
- **Mailing address phone:** (540) 948-4488
- **Mailing address fax:** (540) 948-4662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401004401 | VA | Yes |

## Other

- **Enumeration date:** 04/10/2008
- **Last updated:** 04/10/2008