Jessica L Davis in Ripon - General Practice

Jessica L Davis - NPI 1619060795

Jessica L Davis is a General Practice in Ripon, Wisconsin. Jessica L Davis practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jessica L Davis is 1619060795. The last update date is 2008-04-22.

Jessica L Davis's current location address is Po Box 510, Ripon, Wisconsin. You can contact this provider via phone number 9207486122. The mailing address for Jessica L Davis is Po Box 510, Ripon, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Jessica L Davis
Address Po Box 510, Ripon, Wisconsin
Phone Number 9207486122
Fax Number
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1619060795
Provider Enumeration Date 2006-10-02
Last Updated Date 2008-04-22

Provider Mailing Address Detail

Address Po Box 510
City Ripon
State Wisconsin (WI)
Post Code 549710510
Phone Number 9207486122
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5244-015
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
33761900 WI --

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FAQs about Jessica L Davis

What is the Jessica L Davis's 1619060795?

The Jessica L Davis's NPI (National Provider Identifier) Number is 1619060795. 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 street address where Jessica L Davis is physically located?

The Jessica L Davis is physically situated at the following address: Po Box 510, Ripon, WI, 549710510.

What is Jessica L Davis'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 Jessica L Davis is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date was the 1619060795 assigned to Jessica L Davis?

The Jessica L Davis was issued its 1619060795 on 2006-10-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Jessica L Davis last refreshed?

The information related to the Jessica L Davis, including its address, specialty, and other relevant details, was last updated on 2008-04-22.

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