Scott, Daniel Davis

Scott, Daniel Davis is an individual health care provider with primary practice located at 7011 Evans Town Center Blvd , Evans GA 30809-4315. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Scott, Daniel Davis can be contacted via phone (706) 724-8735.

Contact Information

Primary practice address
7011 Evans Town Center Blvd Evans GA 30809-4315
Fax: (706) 722-7037
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN013534 Georgia

Profile Details

NPI number 1508063181
LBN Legal business name Scott, Daniel Davis
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2007
Last updated Feb 3rd, 2017 - about 7 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 1508063181 NPPES
Georgia Other DN013534 DENTIST
Georgia MEDICAID 003110225G DENTIST
Georgia MEDICAID ZX7147 DENTIST

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