Organization
KATHY L DAVIES, DDS, MS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY L DAVIES (OWNER)
(919) 967-5099
Entity
Organization
Contact information
Practice address
900 MARTIN LUTHER KING JR BLVD, (HISTORIC AIRPORT ROAD)SUITE B, CHAPEL HILL, NC 27514-2601
(919) 967-5099
(919) 932-6098
Mailing address
900 MARTIN LUTHER KING JR BLVD, (HISTORIC AIRPORT ROAD)SUITE B, CHAPEL HILL, NC 27514-2601
(919) 967-5099
(919) 932-6098
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5902
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720087455
INDIVIDUAL NPI
NC
Enumeration date
05/16/2007
Last updated
08/22/2020
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