Organization
MAURICE DAVIS DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANZELL MAURICE DAVIS DDS (OWNER)
(252) 536-3105
Entity
Organization
Contact information
Practice address
100 ELM ST, WELDON, NC 27890
(252) 536-3105
(252) 536-4607
Mailing address
PO BOX 805, 100 ELM ST, WELDON, NC 27890
(252) 536-3105
(252) 536-4607
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4627
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8992022
—
NC
Enumeration date
11/13/2006
Last updated
08/22/2020
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