Dr. Jonathan Scott Davidson
Dentist - General Practice
9215 Skokie Blvd
Skokie
, Illinois 60077-1342
Dr. Jonathan Scott Davidson
Dentist - General Practice
9215 Skokie Blvd
Skokie
, Illinois 60077-1342
(847) 329-9802
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Jonathan Scott Davidson
- 9215 Skokie Blvd
- Skokie, IL
- Zip : 60077-1342
- Fax : (847) 329-9802
- Phone : (847) 329-9801
Second Address
- Dr. Jonathan Scott Davidson
- 9215 Skokie Blvd
- Skokie, IL
- Zip : 60077-1342
- Fax : (847) 329-9802
- Phone : (847) 329-9801
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | IL | |
| Y | 213EG0000X | General Practice | IL |
National Provider Identifier
| NPI | 1003096108 |
|---|---|
| Provider Name | Dr. Jonathan Scott Davidson |
| First Address | Skokie, IL 60077-1342 |
| Second Address | Skokie, IL 60077-1342 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/11/2007 |
| Last Update Date | 06/11/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.