Philip Davis, Dds Pa

LBN: Philip Davis, Dds Pa
Philip Davis, Dds Pa is an health care organization with primary practice located at 4100 W 28Th Ave , Pine Bluff AR 71603-4726. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Philip Davis, Dds Pa can be contacted via phone (870) 879-4870, or through Burrow, Sara via phone (501) 940-1530.

Contact Information

Primary practice address
4100 W 28Th Ave Pine Bluff AR 71603-4726
Phone: (870) 879-4870
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Burrow, Sara
Phone: (501) 940-1530

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1952998114
LBN Legal business name Philip Davis, Dds Pa
DBA Doing business as
Authorized official Burrow, Sara
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2020
Last updated Dec 22nd, 2020 - about 4 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 1952998114 NPPES
Arkansas MEDICAID 230610608

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