Individual
ADAM DAVID DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1683 W HARVARD AVE, ROSEBURG, OR 97470
(541) 673-3552
(541) 673-0509
Mailing address
1444 SE KANE ST, ROSEBURG, OR 97470
(541) 672-4271
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8768
OR
Other
Enumeration date
11/01/2006
Last updated
03/07/2023
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