Individual
WILLIAM A DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
107 S HINE ST, ATHENS, AL 35611-2323
(256) 233-2910
(256) 230-0892
Mailing address
107 S HINE ST, ATHENS, AL 35611-2323
(256) 233-2910
(256) 230-0892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3408
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51091684
BLUE CROSS BLUE SHIELD
AL
01
—
748697
UNITED CONCORDIA
—
Enumeration date
11/21/2006
Last updated
03/19/2010
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