John Robert Davis DMD

NPI 1629298369 - Dentist - 1223X0400X

NPI Details
NPI 1629298369
Gender Male
Enumeration Date 04/26/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
115 SOUTH 15TH AVENUE
SUITE F
POCATELLO ID, 83201-4068, US
Phone (208) 233-5500
Fax (208) 233-5508
Business Location
115 SOUTH 15TH AVENUE
SUITE F
POCATELLO ID, 83201-4068, US
Phone (208) 233-5500
Fax (208) 233-5508
Toxanomy
Taxonomy Code 1223X0400X
License State Idaho
License Number D846
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According to our database, Dr. John Robert Davis DMD NPI is 1629298369, taxonomy code is 1223X0400X and license number is D846, license state is located at Idaho. John Robert Davis DMD physically located at 115 South 15th Avenue, Pocatello ID, 83201-4068. NPI Number John Robert Davis DMD has the Individual type.

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1629298369 NPI number is provided on an as is basis without warranty of any kind. 1629298369 is maintained by the National Plan & Provider Enumeration System. The contents of John Robert Davis DMD are for informational purposes only.