MEDICARE: FRANCIS BARRETT DAVIS JR. 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
1	1223G0001X	General Practice Dentistry	6330	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	585764	OTHER	NC	UNITED CONCORDIA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	92027	OTHER	NC	BCBS NUMBER

General Provider Information

NPI Number	:	1891890802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCIS BARRETT DAVIS JR. DDS

Provider Business Mailing Address
First Line	:	304 PENNY LN
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-4306
Country	:	US
Telephone Number	:	252-726-9555
Fax Number	:	252-726-4571

Provider Business Practice Location Address
First Line	:	304 PENNY LN
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-4306
Country	:	US
Telephone Number	:	252-726-9555
Fax Number	:	252-726-4571

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	01/23/2008

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