Organization
DENTISTRY FOR CHILDREN AND TEENS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ALAN DAVIS D.M.D. (DENTIST)
(724) 774-1920
Entity
Organization
Contact information
Practice address
265 3RD ST, BEAVER, PA 15009-2350
(724) 774-1920
(724) 774-3332
Mailing address
PO BOX 537, BEAVER, PA 15009-0537
(724) 774-1920
(724) 774-3332
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011869630001
—
PA
Enumeration date
06/17/2005
Last updated
07/21/2022
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