Healthcare Provider Details

I. General information

NPI: 1649962523
Provider Name (Legal Business Name): ASHTON MICHAEL DAVIS DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2023
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 7TH AVE S
BIRMINGHAM AL
35233-2005
US

IV. Provider business mailing address

4960 VALLEYDALE RD STE 100
HOOVER AL
35242-4781
US

V. Phone/Fax

Practice location:
  • Phone: 205-934-3387
  • Fax:
Mailing address:
  • Phone: 205-991-2433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD.007682-C1
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: