| Clara P Davis, Dds, Pllc | |
|
121 Sherron Rd Suite 108 Durham NC 27703-9515 | |
| (919) 598-0780 | |
| (919) 598-0781 |
| Full Name | Clara P Davis, Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 121 Sherron Rd, Durham, North Carolina |
| Authorized Official Name and Position | Clara Powell Davis (MEMBER/MANAGER) |
| Authorized Official Contact | 9195989001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clara P Davis, Dds, Pllc 121 Sherron Rd Suite 108 Durham NC 27703-9515 Ph: (919) 598-0780 | Clara P Davis, Dds, Pllc 121 Sherron Rd Suite 108 Durham NC 27703-9515 Ph: (919) 598-0780 |
| NPI Number | 1578735080 |
|---|---|
| Provider Enumeration Date | 03/25/2008 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578735080 | NPI | - | NPPES |
| 899016M | Medicaid | NC | |
| 9016M | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7166 (North Carolina) | Primary |
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