Davis, Michael R.

Davis, Michael R. is an individual health care provider with primary practice located at 380 Butterfly Gardens Dr , Columbus OH 43215-7508. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Davis, Michael R. can be contacted via phone (614) 722-5650.

Contact Information

Primary practice address
380 Butterfly Gardens Dr Columbus OH 43215-7508
Phone: (614) 722-5650
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30.026399 Ohio
Dental Providers / Pediatric Dentistry 1223P0221X 30.026399 Ohio

Profile Details

NPI number 1780218511
LBN Legal business name Davis, Michael R.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2020
Last updated Mar 21st, 2022 - about 3 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 1780218511 NPPES
Ohio MEDICAID 0439315

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