Davis, Isaac E

Davis, Isaac E is an individual health care provider with primary practice located at 7033 Saint Andrews Rd Suite 102, Columbia SC 29212-1179. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Davis, Isaac E can be contacted via phone (803) 781-3321.

Contact Information

Primary practice address
7033 Saint Andrews Rd Suite 102 Columbia SC 29212-1179
Fax: (803) 781-4406
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2704 South Carolina

Profile Details

NPI number 1578638177
LBN Legal business name Davis, Isaac E
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 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 1578638177 NPPES
South Carolina MEDICAID Z27044
South Carolina Other 2704

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