Healthcare Provider Details

I. General information

NPI: 1477464618
Provider Name (Legal Business Name): DAVIS INDUSTRIES AND ENTERPRISE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3079 W BROAD ST STE 7
COLUMBUS OH
43204-1380
US

IV. Provider business mailing address

3079 W BROAD ST STE 7
COLUMBUS OH
43204-1380
US

V. Phone/Fax

Practice location:
  • Phone: 614-279-9204
  • Fax:
Mailing address:
  • Phone: 614-279-9204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. ZACHARY ALAN DAVIS
Title or Position: OWNER
Credential: DDS
Phone: 330-321-9114