| Davis Dental Pllc | |
|
300 Columbus Ave Ste C Tuckahoe NY 10707-2553 | |
| (914) 533-4200 | |
| (914) 533-4202 |
| Full Name | Davis Dental Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 Columbus Ave Ste C, Tuckahoe, New York |
| Authorized Official Name and Position | Joshua Davis (PRESIDENT) |
| Authorized Official Contact | 9145334200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Dental Pllc 300 Columbus Ave Ste C Tuckahoe NY 10707-2553 Ph: (914) 533-4200 | Davis Dental Pllc 300 Columbus Ave Ste C Tuckahoe NY 10707-2553 Ph: (914) 533-4200 |
| NPI Number | 1285258087 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 06/08/2020 |
| Medicare PECOS PAC ID | 7517389653 |
|---|---|
| Medicare Enrollment ID | O20200618002801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285258087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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