Individual
DR. MICHAEL WILLIAM DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D. M. D.
Contact information
Practice address
133 CLEBOURNE ST, FORT MILL, SC 29715-1742
(803) 547-7508
(803) 547-1070
Mailing address
133 CLEBOURNE ST, FORT MILL, SC 29715-1742
(803) 547-7508
(803) 547-1070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1880
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
408030
UNITED CONCORDIA
SC
05
—
ZA9804
—
SC
Enumeration date
10/17/2006
Last updated
07/08/2007
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