Individual
DR. RICHARD LEE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
611 E MAIN ST, WAVERLY, TN 37185-1718
(931) 296-2804
Mailing address
PO BOX 494, WAVERLY, TN 37185-0494
(931) 296-2804
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
TN07423
TN
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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