Davis, Robert A

Davis, Robert A is an sole proprietor health care provider with primary practice located at 265 3Rd St , Beaver PA 15009-2350. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Davis, Robert A can be contacted via phone (724) 774-1920.

Contact Information

Primary practice address
265 3Rd St Beaver PA 15009-2350
Phone: (724) 774-1920
Fax: (724) 774-3332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DS-025969L Pennsylvania
Dental Providers / Pediatric Dentistry 1223P0221X 30-02-0258 Ohio

Profile Details

NPI number 1114077872
LBN Legal business name Davis, Robert A
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2007
Last updated Jul 9th, 2007 - about 18 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 1114077872 NPPES
Ohio MEDICAID 2007689
Ohio MEDICAID 0011644380001

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