Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | D6030.C1 | AL |
N | 204E00000X | Oral & Maxillofacial Surgeon | 36271 | AL |
NPI | 1104168244 |
---|---|
Provider Name | Dr. David W Davis |
First Address | Oxford, AL 36203-4859 |
Second Address | Anniston, AL 36207-5703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2013 |
Last Update Date | 30/01/2020 |