Randy Davis Dentistry PA

NPI #1578584447 in Manhattan, Kansas

Provider Information

NPI Number: 1578584447
Entity Type: Organization
Organization Name: Randy Davis Dentistry PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 23, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1133 COLLEGE AVE
Address 2: STE A103
City: Manhattan
State: Kansas
ZIP Code: 66502-2770
Phone: (785) 539-0804

Authorized Official

Name: RANDY DAVIS, DDS
Title: PRESIDENT
Phone: (785) 539-0804

Specialties & Taxonomy Codes

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

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