Individual
MR. JEREMIAH C. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MBA
Contact information
Practice address
6402 YADKIN ROAD, FAYETTEVILLE, NC 28303
(910) 864-4646
(910) 864-6271
Mailing address
7151 O'KELLY ROAD (BOX 318), CARY, NC 27519
(910) 864-4646
(910) 864-6271
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9774
NC
Other
Enumeration date
06/06/2014
Last updated
10/29/2020
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