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General NPI Number Information
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NPI Number | 1346370046
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Entity Type | Organization
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Legal Business Name | JAMES G DAVIS DDS PC
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4520 NELSON BROGDON BLVD
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City | SUGAR HILL
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State | GA
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Zip | 30518-3478
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Country | US
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Telephone | 770-945-2119
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Fax | 770-945-0979
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Provider Business Mailing Address
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Address Line | 4520 NELSON BROGDON BLVD
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City | SUGAR HILL
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State | GA
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Zip | 30518-3478
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Country | US
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Telephone | 770-945-2119
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Fax | 770-945-0979
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES G DAVIS
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Credential | DDS
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Telephone | 770-945-2119
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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 | 7856
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License Number State | GA
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