Individual
JOHN PHILIP MCKENZIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4100 W 28TH AVE, PINE BLUFF, AR 71603-4726
(870) 879-4870
Mailing address
4100 W 28TH AVE, PINE BLUFF, AR 71603-4726
(870) 879-4870
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4306
AR
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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