Randall L Davis Dmd Pc in Lawrence - General Practice

Randall L Davis Dmd Pc - NPI 1831226117

Randall L Davis Dmd Pc is a General Practice in Lawrence, Massachusetts. Randall L Davis Dmd Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Randall L Davis Dmd Pc is 1831226117. The last update date is 2012-03-09.

Randall L Davis Dmd Pc's current location address is 100 Amesbury St, Lawrence, Massachusetts. You can contact this provider via phone number 9786868500 and fax number 9786864032. The mailing address for Randall L Davis Dmd Pc is 100 Amesbury St, Lawrence, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Organization Randall L Davis Dmd Pc
Address 100 Amesbury St, Lawrence, Massachusetts
Phone Number 9786868500
Fax Number 9786864032
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Davis L Randall
Credentials DMD
Telephone Number 9786868500

NPI Number Detail

NPI Number 1831226117
Provider Enumeration Date 2007-02-27
Last Updated Date 2012-03-09

Provider Mailing Address Detail

Address 100 Amesbury St
City Lawrence
State Massachusetts (MA)
Post Code 1840
Phone Number 9786868500
Fax Number 9786864032

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 20413
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
X11220 MA BC BS
9785914 MA --
30312396 NH MEDICAI
46143185 MA DELTA DENTAL

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FAQs about Randall L Davis Dmd Pc

What is the Randall L Davis Dmd Pc's unique identification number?

The Randall L Davis Dmd Pc has been assigned the NPI (National Provider Identifier) Number 1831226117 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Randall L Davis Dmd Pc's facilities are situated?

The facilities of Randall L Davis Dmd Pc are physically located at the following address: 100 Amesbury St, Lawrence, MA, 1840.

What is Randall L Davis Dmd Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Randall L Davis Dmd Pc is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1831226117 to Randall L Davis Dmd Pc?

The Centers for Medicare & Medicaid Services originally issued the 1831226117 to Randall L Davis Dmd Pc on 2007-02-27.

As of what date were the Randall L Davis Dmd Pc's details last updated?

The information pertaining to the Randall L Davis Dmd Pc, including its address, specialty, and other details, was most recently updated on 2012-03-09.

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