Individual
DR. JOHN BYRNSIDE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
ROUTE 98 MEDWOOD PLAZA, SUITE 302, NUTTER FORT, WV 26301
(304) 622-5711
(304) 622-6001
Mailing address
ROUTE 98 MEDWOOD PLAZA, SUITE 302, NUTTER FORT, WV 26301
(304) 622-5711
(304) 622-6001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019276
WV
122300000X
Dentist
3034
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7800056000
—
WV
Enumeration date
10/14/2006
Last updated
07/08/2007
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