Ryan James Davis is a Periodontics in Peoria, Illinois. Ryan James Davis practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Ryan James Davis is 1396916649. The last update date is 2012-10-17.
Ryan James Davis's current location address is 1717 W Candletree Dr Ste A, Peoria, Illinois. You can contact this provider via phone number 3093608502. The mailing address for Ryan James Davis is 1717 W Candletree Dr Ste A, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ryan James Davis |
|---|---|
| Address | 1717 W Candletree Dr Ste A, Peoria, Illinois |
| Phone Number | 3093608502 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DMD, MS |
NPI Number Detail
| NPI Number | 1396916649 |
|---|---|
| Provider Enumeration Date | 2008-03-14 |
| Last Updated Date | 2012-10-17 |
Provider Mailing Address Detail
| Address | 1717 W Candletree Dr Ste A |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616141592 |
| Phone Number | 3093608502 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 21.002357 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identifier code issued to Ryan James Davis by the Centers for Medicare & Medicaid Services?
The Ryan James Davis has been assigned the NPI (National Provider Identifier) 1396916649 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Ryan James Davis located?
The Ryan James Davis is located at 1717 W Candletree Dr Ste A, Peoria, IL 616141592.
What is Ryan James Davis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ryan James Davis's specialized field of practice is Periodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0300X.
When was the Ryan James Davis's 1396916649 issued?
The Ryan James Davis's 1396916649 was issued on 2008-03-14.
When was the information regarding Ryan James Davis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ryan James Davis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-10-17.