Davis, John W

Davis, John W is an individual health care provider with primary practice located at 10030 Ocean Hwy , Pawleys Island SC 29585. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Davis, John W can be contacted via phone (843) 237-8433.

Contact Information

Primary practice address
10030 Ocean Hwy Pawleys Island SC 29585
Fax: (843) 237-1073
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1581 South Carolina

Profile Details

NPI number 1295788826
LBN Legal business name Davis, John W
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 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 1295788826 NPPES
South Carolina MEDICAID Z15813

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