# DAVIS DENTAL CENTER, PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Davis Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851501480
- **Authorized official:** DR. RACHEL HILARY DAVIS DMD (OWNER DENTIST)
- **Authorized official phone:** (502) 895-8577

## Contact information

- **Practice address:** 902 DUPONT RD, SUITE 200, LOUISVILLE, KY 40207-4602
- **Practice address phone:** (502) 895-8577
- **Practice address fax:** (502) 895-5277
- **Mailing address:** 902 DUPONT RD, SUITE 200, LOUISVILLE, KY 40207-4602
- **Mailing address phone:** (502) 895-8577
- **Mailing address fax:** (502) 895-5277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | KY | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 09/28/2010
