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General NPI Number Information
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NPI Number | 1700943883
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Entity Type | Individual
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Provider Name | ALPHONZO LOWELL DAVIDSON, SR SR. DDS
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Gender | Male
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 9470 ANNAPOLIS ROAD #303 LANHAM MARYLAND 20706
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City | LANHAM
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State | MD
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Zip | 20706
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Country | US
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Telephone | 301-322-8900
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Fax | 301-322-2840
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Provider Business Mailing Address
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Address Line | 9470 ANNAPOLIS ROAD #303 LANHAM MARYLAND 20706
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City | LANHAM
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State | MD
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Zip | 20706
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Country | US
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Telephone | 301-322-8900
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Fax | 301-322-2840
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 5342
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | MD5342
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DEN2524
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License Number State | DC
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