Organization
DAVIS ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL M. DAVIS DDS, MS, PC (ENDODONTIST/DENTIST)
(301) 947-3400
Entity
Organization
Contact information
Practice address
11908 DARNESTOWN RD, SUITE #F, NORTH POTOMAC, MD 20878-2295
(301) 947-3400
(301) 947-5778
Mailing address
11908 DARNESTOWN RD, SUITE #F, NORTH POTOMAC, MD 20878-2295
(301) 947-3400
(301) 947-5778
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
11210
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700864840
SPECIAL PROVIDER NUMBER
MD
Enumeration date
02/08/2011
Last updated
02/08/2011
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