Davis, Jeffrey Shawn

Davis, Jeffrey Shawn is an individual health care provider with primary practice located at 2270 Valor Drive Suite 105, Winchester VA 22601. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Davis, Jeffrey Shawn can be contacted via phone (540) 545-7878.

Contact Information

Primary practice address
2270 Valor Drive Suite 105 Winchester VA 22601
Phone: (540) 545-7878
Fax: (540) 301-0754
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 21652 Texas
Dental Providers / Dentist 122300000X 0401005502 Virginia

Profile Details

NPI number 1679649016
LBN Legal business name Davis, Jeffrey Shawn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated May 19th, 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 1679649016 NPPES
Other 1643475 UNITED CONCORDIA
MEDICAID 170115301 UNITED CONCORDIA

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