DR. Jonathan Scott Davidson, D.D.S.

NPI #1003096108 in Skokie, Illinois

Provider Information

NPI Number: 1003096108
Entity Type: Individual
Name: DR. Jonathan Scott Davidson, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Nov 6, 2007
Last Updated: Nov 6, 2007

Practice Location

Address: 9215 SKOKIE BLVD
City: Skokie
State: Illinois
ZIP Code: 60077-1342
Phone: (847) 329-9801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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