Davis, Jeffrey B

Davis, Jeffrey B is an individual health care provider with primary practice located at 7007 Old Sauk Rd , Madison WI 53717. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Davis, Jeffrey B can be contacted via phone (608) 833-2060.

Contact Information

Primary practice address
7007 Old Sauk Rd Madison WI 53717
Phone: (608) 833-2060
Fax: (608) 833-1737
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2967015 Wisconsin

Profile Details

NPI number 1346274487
LBN Legal business name Davis, Jeffrey B
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 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 1346274487 NPPES
Wisconsin MEDICAID 33454200

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