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NPI Code Detail

MEDICARE: DR. VINCENT H DAVIS DDS

MEDICARE:  DR. VINCENT H DAVIS  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry10290MD

General Provider Information

NPI Number : 1114108636
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VINCENT H DAVIS DDS
Provider Business Mailing Address
First Line : PO BOX 3306
Second Line :
City : CAPITOL HEIGHTS
State : MD
Zip : 20791-3306
Country : US
Telephone Number : 301-333-5882
Fax Number : 301-333-5884
Provider Business Practice Location Address
First Line : 1836 METZEROTT RD
Second Line : SUITE 118
City : ADELPHI
State : MD
Zip : 20783-3475
Country : US
Telephone Number : 301-445-5800
Fax Number : 301-445-5884
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2007
Last Update Date : 11/27/2007

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Directions to “ DR. VINCENT H DAVIS DDS” Practice Location

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