Keith C. Davis in Spartanburg - General Practice

Keith C. Davis - NPI 1104849884

Keith C. Davis is a General Practice in Spartanburg, South Carolina. Keith C. Davis practices all healthcare services and medical treatments related to General Practice. The NPI Number for Keith C. Davis is 1104849884. The last update date is 2007-07-09.

Keith C. Davis's current location address is 975 N Church St, Spartanburg, South Carolina. You can contact this provider via phone number 8645824308 and fax number 8645964492. The mailing address for Keith C. Davis is 975 N Church St, Spartanburg, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Keith C. Davis
Address 975 N Church St, Spartanburg, South Carolina
Phone Number 8645824308
Fax Number 8645964492
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1104849884
Provider Enumeration Date 2006-07-25
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 975 N Church St
City Spartanburg
State South Carolina (SC)
Post Code 293034104
Phone Number 8645824308
Fax Number 8645964492

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 2633
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
ZZ2633 SC --

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FAQs about Keith C. Davis

What is the Keith C. Davis's 1104849884?

The Keith C. Davis's NPI (National Provider Identifier) Number is 1104849884. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Keith C. Davis's physical address?

The Keith C. Davis is physically located at 975 N Church St, in the city of Spartanburg, SC, with the postal code 293034104.

What is Keith C. Davis's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

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

On what date did the Keith C. Davis receive its 1104849884 assignment from the Centers for Medicare & Medicaid Services?

The Keith C. Davis was assigned its 1104849884 by the Centers for Medicare & Medicaid Services on 2006-07-25.

When was the information pertaining to Keith C. Davis most recently updated or revised?

The details related to Keith C. Davis, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.

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