Davis, Charles A

Davis, Charles A is an sole proprietor health care provider with primary practice located at 716 N Country Club Rd , Tucson AZ 85716-4506. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Davis, Charles A can be contacted via phone (520) 326-8516.

Contact Information

Primary practice address
716 N Country Club Rd Tucson AZ 85716-4506
Phone: (520) 326-8516
Fax: (520) 326-1013
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 1881 Arizona

Profile Details

NPI number 1912095134
LBN Legal business name Davis, Charles A
Credentials D.D.S.M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2006
Last updated Dec 26th, 2013 - about 12 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 1912095134 NPPES
Arizona Other 082868 STATE AHCCCS NUMBER
Arizona Other 564721 STATE AHCCCS NUMBER

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