Individual
DENNIS WAYNE DAVIS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
HAMPSTEAD STATION 11, US HWY 17, HAMPSTEAD, NC 28443
(910) 270-3249
(910) 270-3249
Mailing address
11 HAMPSTEAD STATION, US HWY 17, HAMPSTEAD, NC 28443-2149
(910) 270-3249
(910) 270-3249
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
524
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8802053
—
NC
Enumeration date
03/08/2007
Last updated
07/08/2007
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