Individual
DR. GREGGORY STEPHEN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2616 N PARK AVE, SHAWNEE, OK 74804-2838
(405) 275-7730
Mailing address
2616 N PARK AVE, SHAWNEE, OK 74804-2838
(801) 602-4226
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8061
OK
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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