Davis, Elbert R

Davis, Elbert R is an sole proprietor health care provider with primary practice located at 201 Eglin Pkwy Se , Fort Walton Beach FL 32548-5810. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Davis, Elbert R can be contacted via phone (850) 863-9050.

Contact Information

Primary practice address
201 Eglin Pkwy Se Fort Walton Beach FL 32548-5810
Fax: (850) 863-5077
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN16694 Florida

Profile Details

NPI number 1487746673
LBN Legal business name Davis, Elbert R
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Oct 6th, 2011 - about 13 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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