Individual
LEON F DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-5999
(402) 559-3499
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-5999
(402) 559-3499
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
13004
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47078557585
—
NE
Enumeration date
05/03/2006
Last updated
05/08/2012
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