Glenn Davis in Shawnee - General Practice

Glenn Davis - NPI 1437198017

Glenn Davis is a General Practice in Shawnee, Oklahoma. Glenn Davis practices all healthcare services and medical treatments related to General Practice. The NPI Number for Glenn Davis is 1437198017. The last update date is 2007-07-08.

Glenn Davis's current location address is 3703 N Kickapoo Ave, Shawnee, Oklahoma. You can contact this provider via phone number 4052750640 and fax number 4052751502. The mailing address for Glenn Davis is 3703 N Kickapoo Ave, Shawnee, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Glenn Davis
Address 3703 N Kickapoo Ave, Shawnee, Oklahoma
Phone Number 4052750640
Fax Number 4052751502
Sole Proprietor X
Credentials D.D.S.

NPI Number Detail

NPI Number 1437198017
Provider Enumeration Date 2006-06-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3703 N Kickapoo Ave
City Shawnee
State Oklahoma (OK)
Post Code 748041703
Phone Number 4052750640
Fax Number 4052751502

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 3839
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 Glenn Davis

What is the Glenn Davis's 1437198017?

The Glenn Davis's NPI (National Provider Identifier) Number is 1437198017. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Glenn Davis?

The Glenn Davis is physically situated at 3703 N Kickapoo Ave, in the city of Shawnee, state of OK, with the postal code 748041703.

What is the area of specialization for Glenn Davis, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Glenn Davis is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did Glenn Davis receive its 1437198017 assignment from the Centers for Medicare & Medicaid Services?

The Glenn Davis was assigned its 1437198017 on 2006-06-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Glenn Davis most recently updated or revised?

The information pertaining to Glenn Davis, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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