Organization
PHILIP DAVIS, DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA BURROW (INSURANCE ADMIN)
(501) 940-1530
Entity
Organization
Contact information
Practice address
4100 W 28TH AVE, PINE BLUFF, AR 71603-4726
(870) 879-4870
Mailing address
4100 W 28TH AVE, PINE BLUFF, AR 71603-4726
(870) 879-4870
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230610608
—
AR
Enumeration date
12/22/2020
Last updated
12/22/2020
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