Individual
DR. GERALD DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
N14W23833 STONE RIDGE DR STE 100, WAUKESHA, WI 53188
(262) 542-8860
Mailing address
N14W23833 STONE RIDGE DR STE 100, WAUKESHA, WI 53188-1189
(262) 542-8860
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001876-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2025
Last updated
07/04/2025
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