Davidson, Myles
Davidson, Myles is an sole proprietor health care provider with primary practice located at 3510 N Ridge Rd Ste 500 , Wichita KS 67205. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Davidson, Myles can be contacted via phone (316) 722-0800.Contact Information
Primary practice address
3510 N Ridge Rd Ste 500
Wichita KS 67205
Phone: (316) 722-0800
Fax: (316) 722-5822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 6734 | Oklahoma |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 61536 | Kansas |
Profile Details
| NPI number | 1134505399 |
|---|---|
| LBN Legal business name | Davidson, Myles |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2015 |
| Last updated | Nov 12th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134505399 | NPPES |
| Kansas | Other | 61536 | KANSAS DENTAL LICNESE |
| Kansas | Other | 6734 | KANSAS DENTAL LICNESE |
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