Healthcare Provider Details

I. General information

NPI: 1699464370
Provider Name (Legal Business Name): HANNAH BLAIR DAVIS DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2023
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7204 E MARSHVILLE BLVD
MARSHVILLE NC
28103-1191
US

IV. Provider business mailing address

905 BAUCOM RD
MONROE NC
28110-7487
US

V. Phone/Fax

Practice location:
  • Phone: 704-624-7222
  • Fax:
Mailing address:
  • Phone: 704-320-4952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number14788
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: