Davis, Jeffrey K

Davis, Jeffrey K is an individual health care provider with primary practice located at 2015 N Locust Grove Rd , Meridian ID 83642-1827. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Davis, Jeffrey K can be contacted via phone (208) 888-1802.

Contact Information

Primary practice address
2015 N Locust Grove Rd Meridian ID 83642-1827
Fax: (208) 887-3908
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X N-01893 Idaho

Profile Details

NPI number 1730197849
LBN Legal business name Davis, Jeffrey K
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Mar 7th, 2023 - about last year

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 1730197849 NPPES
Idaho Other 1615855 UNITED CONCORDIA INS.
Idaho Other 6O183 (LETTER O) UNITED CONCORDIA INS.
Idaho Other CS10530 UNITED CONCORDIA INS.
Idaho Other N-01893 UNITED CONCORDIA INS.

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