Wayne M Davis in Boise - General Practice

Wayne M Davis - NPI 1720109465

Wayne M Davis is a General Practice in Boise, Idaho. Wayne M Davis practices all healthcare services and medical treatments related to General Practice. The NPI Number for Wayne M Davis is 1720109465. The last update date is 2007-07-08.

Wayne M Davis's current location address is 9733 Ustick Rd, Boise, Idaho. You can contact this provider via phone number 2083758720 and fax number 2083758734. The mailing address for Wayne M Davis is 9733 Ustick Rd, Boise, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Wayne M Davis
Address 9733 Ustick Rd, Boise, Idaho
Phone Number 2083758720
Fax Number 2083758734
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1720109465
Provider Enumeration Date 2007-04-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 9733 Ustick Rd
City Boise
State Idaho (ID)
Post Code 837045202
Phone Number 2083758720
Fax Number 2083758734

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No D1320
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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FAQs about Wayne M Davis

What is the Wayne M Davis's unique identification number?

The Wayne M Davis has been assigned the NPI (National Provider Identifier) Number 1720109465 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Wayne M Davis is physically located?

The Wayne M Davis is situated at the following address: 9733 Ustick Rd, Boise, ID 837045202.

What is Wayne M Davis's specialized field of practice, and what is the corresponding taxonomy classification code?

The Wayne M Davis's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1720109465 to Wayne M Davis?

The Centers for Medicare & Medicaid Services originally issued the 1720109465 to Wayne M Davis on 2007-04-02.

As of what date was the information pertaining to Wayne M Davis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Wayne M Davis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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