Individual
JAMES WILLIAM DAVIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1070 OLD NATIONAL PIKE ROAD, FREDERICKTOWN, PA 15333
(724) 632-6801
(724) 632-6312
Mailing address
115 DANEA LANE, APT 1, UNIONTOWN, PA 15401
(724) 439-0146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS019026L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001066651
—
PA
Enumeration date
05/17/2006
Last updated
07/08/2007
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