Individual
DR. JASON O. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4552 KINGS HWY, BROOKLYN, NY 11234-2028
(718) 791-6295
(718) 791-6295
Mailing address
4552 KINGS HWY, BROOKLYN, NY 11234-2028
(917) 703-5962
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
057168
NY
1223P0221X
Pediatric Dentistry
Primary
11888
CT
Other
Enumeration date
06/29/2011
Last updated
08/10/2020
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