Individual
CHERRYL ANNE DAVIS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
316 COMMERCE AVE, MOREHEAD CITY, NC 28557-3283
(252) 247-4900
(252) 247-4935
Mailing address
316 COMMERCE AVE, MOREHEAD CITY, NC 28557-3283
(252) 247-4900
(252) 247-4935
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6623
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9000V
BCBS PROVIDER NUMBER
NC
01
—
970837
UNITED CONCORDIA PROVIDER
NC
Enumeration date
01/15/2007
Last updated
07/09/2007
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