Davis, Keisha Brown
Davis, Keisha Brown is an individual health care provider with primary practice located at 500 Holly Springs Rd Suite 104 - Dental Office, Holly Springs NC 27540-6204. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Davis, Keisha Brown can be contacted via phone (919) 557-1871.Contact Information
Primary practice address
500 Holly Springs Rd Suite 104 - Dental Office
Holly Springs NC 27540-6204
Phone: (919) 557-1871
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6655 | North Carolina |
Profile Details
| NPI number | 1902939978 |
|---|---|
| LBN Legal business name | Davis, Keisha Brown |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902939978 | NPPES |
| North Carolina | MEDICAID | 899010U |
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