Individual
DR. RICHARD DUKE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1980 1ST ST, IDAHO FALLS, ID 83401-4342
(208) 350-3897
Mailing address
1980 1ST ST, IDAHO FALLS, ID 83401-4342
(208) 350-3897
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
1703
WY
1223P0300X
Periodontics
Primary
7571268
ID
Other
Enumeration date
07/05/2022
Last updated
07/30/2025
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