Davis Periodontics

LBN: Davis Periodontics
Davis Periodontics is an health care organization with primary practice located at 5850 E 2Nd St Ste 100, Casper WY 82609-4342. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Davis Periodontics can be contacted via phone (307) 472-0207, or through Davis, Michael A via phone (307) 472-0207.

Contact Information

Primary practice address
5850 E 2Nd St Ste 100 Casper WY 82609-4342
Phone: (307) 472-0207
Fax: (307) 472-0259
Website:
Map and Directions
Authorized official contact:
Name: Davis, Michael A Doctor of Dental Surgery (DDS)
Phone: (307) 472-0207

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 1274 Wyoming

Profile Details

NPI number 1881950954
LBN Legal business name Davis Periodontics
DBA Doing business as
Authorized official Davis, Michael A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2012
Last updated Apr 3rd, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881950954 NPPES
Wyoming Other 1568682011 INDIVIDUAL

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