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General NPI Number Information
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NPI Number | 1679671051
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Entity Type | Organization
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Legal Business Name | DAVIS DENTAL PARTNERSHIP
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 906 ENTERPRISE DR.
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City | JONESBORO
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State | AR
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Zip | 72401
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Country | US
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Telephone | 870-932-0330
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Fax | 870-933-9342
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Provider Business Mailing Address
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Address Line | 906 ENTERPRISE DR.
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City | JONESBORO
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State | AR
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Zip | 72401
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Country | US
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Telephone | 870-932-0330
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Fax | 870-933-9342
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Authorized Official
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Title or Position | OWNER
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Name | CRAIG T DAVIS JR.
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Credential |
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Telephone | 870-932-0330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | AR
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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 |
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License Number State |
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