Individual
DR. ANZELL MAURICE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 ELM STREET, WELDON, NC 27890
(252) 536-3105
Mailing address
POST OFFICE BOX 805, 100 ELM STREET, WELDON, NC 27890
(252) 536-3105
(252) 536-4607
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4627
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093886954
NPI ORGANIZATION
NC
05
—
8992022
—
NC
Enumeration date
04/29/2008
Last updated
04/29/2008
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