Individual
JEFFREY SHAWN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2270 VALOR DRIVE, SUITE 105, WINCHESTER, VA 22601
(540) 545-7878
(540) 301-0754
Mailing address
2270 VALOR DRIVE, SUITE 105, WINCHESTER, VA 22601
(540) 545-7878
(540) 301-0754
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401005502
VA
122300000X
Dentist
21652
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1643475
UNITED CONCORDIA
—
05
—
170115301
—
TX
Enumeration date
11/28/2006
Last updated
05/19/2010
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