# ALPHONZO L. DAVIDSON SR,D.D.S.,PA

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

## Provider details

- **NPI number:** 1821301599
- **Authorized official:** ALPHONZO L DAVIDSON SR. DDS,PA (ORAL MAXILLOFACIAL SURGEON)
- **Authorized official phone:** (301) 322-8900

## Contact information

- **Practice address:** 932 LARGO CENTER DR, LARGO, MD 20774-3704
- **Practice address phone:** (301) 322-8900
- **Practice address fax:** (301) 322-2840
- **Mailing address:** 932 LARGO CENTER DR, LARGO, MD 20774-3704
- **Mailing address phone:** (301) 322-8900
- **Mailing address fax:** (301) 322-2840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 5342 | MD | Yes |

## Other

- **Enumeration date:** 07/22/2010
- **Last updated:** 07/22/2010