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General NPI Number Information
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NPI Number | 1053388546
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Entity Type | Individual
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Provider Name | WILLIAM J DAVIS JR. DDS MS
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Gender | Male
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Dates
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Enumeration Date | 03/02/2006
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 2109 HUGHES DR FL 6
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City | TOLEDO
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State | OH
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Zip | 43606-3858
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Country | US
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Telephone | 419-291-7308
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Fax | 419-291-8095
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Provider Business Mailing Address
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Address Line | 25955 WILLOWBEND RD
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City | PERRYSBURG
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State | OH
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Zip | 43551
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Country | US
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Telephone | 419-383-4547
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Fax | 419-383-6127
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | OH15900
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License Number State | OH
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