Organization
HENRY W. DAVIS JR,, DDS, PLLC
Active
Other names
Denture Makers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY W DAVIS JR. DDS (PRESIDENT)
(910) 892-4535
Entity
Organization
Contact information
Practice address
596B E JACKSON BLVD, ERWIN, NC 28339-9629
(910) 892-4535
(910) 892-0255
Mailing address
596B E JACKSON BLVD, ERWIN, NC 28339-9629
(910) 892-4535
(910) 892-0255
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5140
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205862018
INDIVIDUAL NPI NUMBER
NC
Enumeration date
05/12/2009
Last updated
05/12/2009
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