Dr. Lowell Bruce Davis
Periodontist
2844 Summit St Ste 202
Oakland
, California 94609-3642
Dr. Lowell Bruce Davis
Periodontist
2844 Summit St Ste 202
Oakland
, California 94609-3642
(510) 834-3414
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Lowell Bruce Davis
- 2844 Summit St Ste 202
- Oakland, CA
- Zip : 94609-3642
- Phone : (510) 834-3414
Second Address
- Dr. Lowell Bruce Davis
- 2844 Summit St Ste 202
- Oakland, CA
- Zip : 94609-3642
- Phone : (510) 834-3414
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223P0300X | Periodontist | 2226049 | CA |
| Y | 1223P0300X | Periodontist | 26049 | CA |
National Provider Identifier
| NPI | 1114032349 |
|---|---|
| Provider Name | Dr. Lowell Bruce Davis |
| First Address | Oakland, CA 94609-3642 |
| Second Address | Oakland, CA 94609-3642 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/08/2006 |
| Last Update Date | 06/10/2020 |
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.