Organization
ERIC DAVIS, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC DAVIS DDS (OWNER/DENTIST)
(919) 806-8060
Entity
Organization
Contact information
Practice address
1822 E NC HIGHWAY 54, SUITE 100, DURHAM, NC 27713-3210
(919) 806-8060
(919) 806-8449
Mailing address
1822 E NC HIGHWAY 54, SUITE 100, DURHAM, NC 27713-3210
(919) 806-8060
(919) 806-8449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7271
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1554610
UNITED CONCORDIA
NC
01
—
845927
AETNA DENTAL
NC
05
—
8990193
—
NC
01
—
90193
BCBS OF NC
NC
Enumeration date
10/05/2006
Last updated
02/13/2012
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