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General NPI Number Information
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NPI Number | 1780567644
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Entity Type | Organization
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Legal Business Name | DAVIES DENTAL SERVICES, PLLC
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 5307 N HARLEM AVE
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City | NORRIDGE
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State | IL
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Zip | 60656-1805
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Country | US
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Telephone | 708-910-8719
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Fax |
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Provider Business Mailing Address
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Address Line | 6220 177TH ST
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City | TINLEY PARK
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State | IL
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Zip | 60477-4318
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Country | US
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Telephone | 708-910-8719
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. JOSEPH THEODORE DAVIES
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Credential | DMD
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Telephone | 708-910-8719
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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