Davis, Andrew

Davis, Andrew is an individual health care provider with primary practice located at 200 W Magnolia Ave Suite 120, Fort Worth TX 76104-7644. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Davis, Andrew can be contacted via phone (817) 665-1323.

Contact Information

Primary practice address
200 W Magnolia Ave Suite 120 Fort Worth TX 76104-7644
Phone: (817) 665-1323
Fax: (817) 871-9074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 0022258 Texas

Profile Details

NPI number 1770517351
LBN Legal business name Davis, Andrew
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770517351 NPPES
Texas Other 0022258 DDS LICENSE

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