Davis, Russell Minor
Davis, Russell Minor is an individual health care provider with primary practice located at 2204 Sunrise Blvd , Fort Pierce FL 34950-5367. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Davis, Russell Minor can be contacted via phone (772) 464-4684.Contact Information
Primary practice address
2204 Sunrise Blvd
Fort Pierce FL 34950-5367
Phone: (772) 464-4684
Fax: (772) 465-2922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN0011240 | Florida |
Profile Details
| NPI number | 1801908496 |
|---|---|
| LBN Legal business name | Davis, Russell Minor |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 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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