James Lynn Davis in Peoria - General Practice
James Lynn Davis - NPI 1952475378
James Lynn Davis is a General Practice in Peoria, Illinois. James Lynn Davis practices all healthcare services and medical treatments related to General Practice. The NPI Number for James Lynn Davis is 1952475378. The last update date is 2007-07-08.
James Lynn Davis's current location address is 1318 W Candletree Dr, Peoria, Illinois. You can contact this provider via phone number 3096926206 and fax number 3096926244. The mailing address for James Lynn Davis is 1318 W Candletree Dr, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Lynn Davis |
|---|---|
| Address | 1318 W Candletree Dr, Peoria, Illinois |
| Phone Number | 3096926206 |
| Fax Number | 3096926244 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1952475378 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1318 W Candletree Dr |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616148508 |
| Phone Number | 3096926206 |
| Fax Number | 3096926244 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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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 identification code assigned to James Lynn Davis by the Centers for Medicare & Medicaid Services?
The James Lynn Davis has been issued the NPI (National Provider Identifier) 1952475378, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of James Lynn Davis?
The James Lynn Davis is situated at 1318 W Candletree Dr, in the city of Peoria, state of IL, with the zip code 616148508.
What is the James Lynn Davis's specialty and taxonomy code?
The James Lynn Davis's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1952475378 to James Lynn Davis?
The Centers for Medicare & Medicaid Services assigned the 1952475378 to James Lynn Davis on 2006-11-17.
As of what date were the details related to James Lynn Davis most recently updated or revised?
The information pertaining to James Lynn Davis, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1215930425
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