Individual
DR. BURIS PARKER DAVIS, JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
216 HEALTHWEST DR, DOTHAN, AL 36303-1942
(334) 792-2880
(334) 792-9336
Mailing address
3367 COUNTY ROAD 73, NEWVILLE, AL 36353-7084
(334) 889-4537
(334) 792-9336
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2989
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000001636
—
AL
01
—
464392
UNITED CONCORDIA
AL
01
—
51091607
BCBSAL DOTHAN OFFICE
AL
01
—
51097734
BCBSAL ENTERPRISE OFFICE
AL
Enumeration date
11/30/2005
Last updated
09/22/2010
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