Individual
DR. LARRY DENNIS DAVIS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1030 W GORDON AVE STE A, ALBANY, GA 31701-4515
(229) 352-6610
Mailing address
1613 GLENRIDGE DR, NASHVILLE, TN 37221-5303
(615) 364-4273
(615) 292-9056
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
04552
TN
122300000X
Dentist
Primary
DN122431
GA
1223G0001X
General Practice Dentistry
3979-18
MS
1223G0001X
General Practice Dentistry
8673
SC
Other
Enumeration date
07/28/2014
Last updated
01/17/2024
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