# DR. ALPHONZO L. DAVIDSON SR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1700943883
- **Gender:** Man
- **Credential:** D.D.S., P.A.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 5342 | MD | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DEN2524 | DC | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | MD5342 | MD | — |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 02/03/2026