Jeremy Blaze Davidson in Virginia Beach - Orthodontics And Dentofacial Orthopedics
Jeremy Blaze Davidson - NPI 1811981954
Jeremy Blaze Davidson is a Orthodontics And Dentofacial Orthopedics in Virginia Beach, Virginia. Jeremy Blaze Davidson practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Jeremy Blaze Davidson is 1811981954. The last update date is 2019-04-25.
Jeremy Blaze Davidson's current location address is 401 N Great Neck Rd Ste 122, Virginia Beach, Virginia. You can contact this provider via phone number 7579622499. The mailing address for Jeremy Blaze Davidson is 401 N Great Neck Rd Ste 122, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Blaze Davidson |
|---|---|
| Address | 401 N Great Neck Rd Ste 122, Virginia Beach, Virginia |
| Phone Number | 7579622499 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1811981954 |
|---|---|
| Provider Enumeration Date | 2005-09-06 |
| Last Updated Date | 2019-04-25 |
Provider Mailing Address Detail
| Address | 401 N Great Neck Rd Ste 122 |
|---|---|
| City | Virginia Beach |
| State | Virginia (VA) |
| Post Code | 234544063 |
| Phone Number | 7579622499 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 401412449 |
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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 provider identifier assigned to Jeremy Blaze Davidson?
The Jeremy Blaze Davidson has been issued the NPI (National Provider Identifier) 1811981954 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jeremy Blaze Davidson's facilities are situated?
The facilities of Jeremy Blaze Davidson are physically located at the following address: 401 N Great Neck Rd Ste 122, Virginia Beach, VA, 234544063.
What is Jeremy Blaze Davidson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jeremy Blaze Davidson is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.
On what date was the 1811981954 assigned to Jeremy Blaze Davidson?
The Jeremy Blaze Davidson was issued its 1811981954 on 2005-09-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jeremy Blaze Davidson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jeremy Blaze Davidson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-04-25.