| Dr. Stacy L. Davis | |
|
14062 Us Highway 23 Ste B Waverly OH 45690-9438 | |
| (740) 947-1990 | |
| Not Available |
| Full Name | Dr. Stacy L. Davis |
|---|---|
| Speciality | Dentist |
| Location | 14062 Us Highway 23 Ste B, Waverly, Ohio |
| Authorized Official Name and Position | Stacy Davis (OWNER / DENTIST) |
| Authorized Official Contact | 7409471990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Stacy L. Davis 14062 Us Highway 23 Ste B Waverly OH 45690-9438 Ph: () - | Dr. Stacy L. Davis 14062 Us Highway 23 Ste B Waverly OH 45690-9438 Ph: (740) 947-1990 |
| NPI Number | 1598466625 |
|---|---|
| Provider Enumeration Date | 03/15/2023 |
| Last Update Date | 04/11/2023 |
| Medicare PECOS PAC ID | 0840644662 |
|---|---|
| Medicare Enrollment ID | O20230928000334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598466625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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