Individual
DR. MALCOLM DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2436 S ACADEMY BLVD, COLORADO SPRINGS, CO 80916-2408
(313) 673-2318
Mailing address
1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(313) 673-2318
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D011217
AZ
122300000X
Dentist
DEN.00204322
CO
1223P0221X
Pediatric Dentistry
Primary
D.007315
AL
390200000X
Student in an Organized Health Care Education/Training Program
TD-00-129
NM
Other
Enumeration date
09/01/2015
Last updated
09/15/2025
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