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
Phone: (706) 724-8735
Fax: (706) 722-7037
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508063181 | NPPES |
Georgia | Other | DN013534 | DENTIST |
Georgia | MEDICAID | 003110225G | DENTIST |
Georgia | MEDICAID | ZX7147 | DENTIST |
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