Davis Dental Clinic

NPI #1073607008 in Brandon, Mississippi

Provider Information

NPI Number: 1073607008
Entity Type: Organization
Organization Name: Davis Dental Clinic
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 3, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 365 CROSSGATES BLVD
City: Brandon
State: Mississippi
ZIP Code: 39042-2602
Phone: (601) 825-2411

Authorized Official

Name: DR. JOHN WILLIAM DAVIS, DMD
Title: MANAGER
Phone: (601) 825-2411

Specialties & Taxonomy Codes

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

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