Individual
TROY D DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
410 PEACHTREE PKWY, BLDG400, SUITE 4250, CUMMING, GA 30041-7066
(770) 622-1515
Mailing address
2552 BAGLEY RD, CUMMING, GA 30041-7209
(801) 602-5541
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6545604-9923
UT
1223G0001X
General Practice Dentistry
23737
TX
1223G0001X
General Practice Dentistry
DE00010701
WA
1223P0221X
Pediatric Dentistry
27304
TX
1223P0221X
Pediatric Dentistry
D-4407-PD
ID
1223P0221X
Pediatric Dentistry
Primary
DN014629
GA
Other
Enumeration date
11/16/2006
Last updated
06/13/2016
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