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General NPI Number Information
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NPI Number | 1528284692
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Entity Type | Individual
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Provider Name | JEREMY WILLIAM DAVEY DMD
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Gender | Male
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 661 GOODLETTE RD N STE 107
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City | NAPLES
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State | FL
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Zip | 34102-5609
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Country | US
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Telephone | 239-434-8886
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Fax | 239-434-9039
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Provider Business Mailing Address
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Address Line | 661 GOODLETTE RD N STE 107
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City | NAPLES
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State | FL
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Zip | 34102-5609
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Country | US
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Telephone | 239-434-8886
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Fax | 239-434-9039
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN 14556
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN 14556
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License Number State | FL
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