Organization
AMANDA DAVIS, DMD, LLC
Active
Other names
Jacksonville Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA DAVIS DMD (OWNER)
(256) 371-0310
Entity
Organization
Contact information
Practice address
1555 PELHAM RD S STE G, JACKSONVILLE, AL 36265-3377
(256) 371-0310
Mailing address
1555 PELHAM RD S STE G, JACKSONVILLE, AL 36265-3377
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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