Allen Glen Davis in San Diego - Orthodontics And Dentofacial Orthopedics
Allen Glen Davis - NPI 1902951056
Allen Glen Davis is a Orthodontics And Dentofacial Orthopedics in San Diego, California. Allen Glen Davis practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Allen Glen Davis is 1902951056. The last update date is 2007-07-08.
Allen Glen Davis's current location address is 9420 Mira Mesa Blvd Ste J, San Diego, California. You can contact this provider via phone number 8585785002 and fax number 8585785832. The mailing address for Allen Glen Davis is 9420 Mira Mesa Blvd Ste J, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Allen Glen Davis |
|---|---|
| Address | 9420 Mira Mesa Blvd Ste J, San Diego, California |
| Phone Number | 8585785002 |
| Fax Number | 8585785832 |
| Sole Proprietor | Y |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1902951056 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9420 Mira Mesa Blvd Ste J |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921264848 |
| Phone Number | 8585785002 |
| Fax Number | 8585785832 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 29576 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Allen Glen Davis by the Centers for Medicare & Medicaid Services?
The Allen Glen Davis has been issued the NPI (National Provider Identifier) 1902951056, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Allen Glen Davis's physical address?
The Allen Glen Davis is physically located at 9420 Mira Mesa Blvd Ste J, in the city of San Diego, CA, with the postal code 921264848.
What is the Allen Glen Davis's specialty and taxonomy code?
The Allen Glen Davis's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.
When was the Allen Glen Davis's 1902951056 issued?
The Allen Glen Davis's 1902951056 was issued on 2007-01-25.
When was the information pertaining to Allen Glen Davis most recently updated or revised?
The details related to Allen Glen Davis, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.