Organization
DONALD L DAVIS DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD L DAVIS DDS (PRES)
(910) 572-2811
Entity
Organization
Contact information
Practice address
473 WOOD ST, TROY, NC 27371-2849
(910) 572-2811
Mailing address
473 WOOD ST, TROY, NC 27371-2849
(910) 572-2811
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4628
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8992023
—
NC
01
—
92023
BLUE CROSS
NC
Enumeration date
12/04/2006
Last updated
08/22/2020
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