DR. Jeremy Blaze Davidson, D.D.S.
NPI #1811981954 in Virginia Beach, Virginia
Provider Information
- NPI Number
- 1811981954
- Entity Type
- Individual
- Name
- DR. Jeremy Blaze Davidson, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- D.D.S.
- Enumeration Date
- Sep 6, 2005
- Last Updated
- Apr 25, 2019
Practice Location
- Address
- 401 N GREAT NECK RD STE 122
- City
- Virginia Beach
- State
- Virginia
- ZIP Code
- 23454-4063
- Phone
- (757) 962-2499
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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