Individual
DR. JAY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
1750 WHEELER PEAK DR, LAS VEGAS, NV 89106-2150
(702) 272-1100
Mailing address
1750 WHEELER PEAK DR, LAS VEGAS, NV 89106-2150
(702) 272-1100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5697
NV
122300000X
Dentist
6975643-9921
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
26510
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
60394
CA
Other
Enumeration date
07/22/2008
Last updated
12/07/2016
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