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General NPI Number Information
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NPI Number | 1235726670
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Entity Type | Organization
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Legal Business Name | DAVIS DENTAL HOLDINGS, PLLC
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Dates
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Enumeration Date | 12/30/2020
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Last Update Date | 12/30/2020
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Provider Practice Location Address
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Address Line | 2765 E TRINITY MILLS RD STE 100
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City | CARROLLTON
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State | TX
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Zip | 75006-2198
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Country | US
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Telephone | 972-416-8204
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Fax |
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Provider Business Mailing Address
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Address Line | 2765 E TRINITY MILLS RD STE 100
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City | CARROLLTON
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State | TX
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Zip | 75006-2198
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DR. MEREDITH G DAVIS
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Credential | DDS
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Telephone | 972-231-4876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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