Organization
STEPHEN A DAVIS DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN A DAVIS DDS (DENTIST OWNER)
(304) 375-7742
Entity
Organization
Contact information
Practice address
447 OAKWOOD AVENUE, WILLIAMSTOWN, WV 26187
(304) 375-7742
(304) 375-9161
Mailing address
447 OAKWOOD AVENUE, WILLIAMSTOWN, WV 26187
(304) 375-7742
(304) 375-9161
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2096
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0273707
—
OH
Enumeration date
04/04/2008
Last updated
04/04/2008
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