Organization
ANDREA L DAVIS DDS PC
Active
Other names
DIVINE DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA L DAVIS DDS (DENTIST/OWNER)
(228) 863-4009
Entity
Organization
Contact information
Practice address
11505 CINEMA DR, SUITE 6, DIBERVILLE, MS 39540-9704
(228) 396-9000
Mailing address
28 PASS RD, SUITE 300, GULFPORT, MS 39507-3244
(228) 863-4009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
334905
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01524745
—
MS
Enumeration date
12/16/2011
Last updated
05/20/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us