Davis, Jr., Buris Parker

Davis, Jr., Buris Parker is an individual health care provider with primary practice located at 216 Healthwest Dr , Dothan AL 36303-1942. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Davis, Jr., Buris Parker can be contacted via phone (334) 792-2880.

Contact Information

Primary practice address
216 Healthwest Dr Dothan AL 36303-1942
Phone: (334) 792-2880
Fax: (334) 792-9336
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2989 Alabama

Profile Details

NPI number 1295719623
LBN Legal business name Davis, Jr., Buris Parker
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Sep 22nd, 2010 - about 14 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 1295719623 NPPES
Alabama MEDICAID 000001636
Alabama Other 464392
Alabama Other 51091607
Alabama Other 51097734

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