Davis, Walter Ray

Davis, Walter Ray is an sole proprietor health care provider with primary practice located at 1270 Mcconnell Dr Ste B , Decatur GA 30033-3507. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Davis, Walter Ray can be contacted via phone (404) 636-2501.

Contact Information

Primary practice address
1270 Mcconnell Dr Ste B Decatur GA 30033-3507
Fax: (404) 636-2235
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 6206 Georgia

Profile Details

NPI number 1639441876
LBN Legal business name Davis, Walter Ray
Credentials D.D.S., M.S.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2012
Last updated Feb 3rd, 2012 - about 13 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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