Davis, James William

Davis, James William is an sole proprietor health care provider with primary practice located at 2025 W Iles Ave Suite F, Springfield IL 62704-4190. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Davis, James William can be contacted via phone (217) 787-6761.

Contact Information

Primary practice address
2025 W Iles Ave Suite F Springfield IL 62704-4190
Phone: (217) 787-6761
Fax: (217) 787-6611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 021.001294 Illinois

Profile Details

NPI number 1871816389
LBN Legal business name Davis, James William
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2010
Last updated Mar 11th, 2010 - about 15 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 1871816389 NPPES
Illinois Other 1649342999 CORPORATE NPI

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