Russell Minor Davis in Fort Pierce - General Practice
Russell Minor Davis - NPI 1801908496
Russell Minor Davis is a General Practice in Fort Pierce, Florida. Russell Minor Davis practices all healthcare services and medical treatments related to General Practice. The NPI Number for Russell Minor Davis is 1801908496. The last update date is 2007-07-08.
Russell Minor Davis's current location address is 2204 Sunrise Blvd, Fort Pierce, Florida. You can contact this provider via phone number 7724644684 and fax number 7724652922. The mailing address for Russell Minor Davis is 2204 Sunrise Blvd, Fort Pierce, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Minor Davis |
|---|---|
| Address | 2204 Sunrise Blvd, Fort Pierce, Florida |
| Phone Number | 7724644684 |
| Fax Number | 7724652922 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1801908496 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2204 Sunrise Blvd |
|---|---|
| City | Fort Pierce |
| State | Florida (FL) |
| Post Code | 349505367 |
| Phone Number | 7724644684 |
| Fax Number | 7724652922 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DN0011240 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identifier code issued to Russell Minor Davis by the Centers for Medicare & Medicaid Services?
The Russell Minor Davis has been assigned the NPI (National Provider Identifier) 1801908496 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Russell Minor Davis is located?
The Russell Minor Davis is situated at the following address: 2204 Sunrise Blvd, Fort Pierce, FL, 349505367.
What is Russell Minor Davis's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Russell Minor Davis is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Russell Minor Davis receive the assignment of its 1801908496 from the Centers for Medicare & Medicaid Services?
The Russell Minor Davis was issued its 1801908496 by the Centers for Medicare & Medicaid Services on 2006-08-31.
When was the Russell Minor Davis's information last updated?
The Russell Minor Davis's information was last updated on 2007-07-08.