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General NPI Number Information
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NPI Number | 1235918731
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Entity Type | Organization
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Legal Business Name | STEVE C DAVIS, D.M.D, P.C.
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 4736 BERRY BLVD.
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City | MONTGOMERY
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State | AL
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Zip | 36106
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Country | US
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Telephone | 334-271-6333
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Fax | 334-271-8875
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Provider Business Mailing Address
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Address Line | 4736 BERRY BLVD.
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City | MONTGOMERY
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State | AL
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Zip | 36106
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Country | US
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Telephone | 334-271-6333
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Fax | 334-271-8875
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | STEVE C DAVIS
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Credential | D.M.D
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Telephone | 334-271-6333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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