Organization
DAVIS AND NYCZEPIR ORTHO DRE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GREG WHITE (CREDENTIALING SPECIALIST)
(859) 785-8312
Entity
Organization
Contact information
Practice address
10436 IRON BRIDGE RD, CHESTER, VA 23831-1427
(859) 785-8312
Mailing address
105 SPRUCE ST, LEXINGTON, KY 40507-2109
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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