Andrea L Davis, DDS is a
Dentist - General Practice based in D'iberville, Mississippi. Andrea L Davis is licensed to practice in Mississippi (license number 3349-05) and her current practice location is
11505 Cinema Drive, Suite 6, D'iberville, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(228) 396-9000.
NPI number for Andrea L Davis is 1750438255 and her current mailing address is 11505 Cinema Drive, Suite 6, D'iberville, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750438255.
Healthcare Provider's Profile
| Full Name | Andrea L Davis |
|---|
| Gender | Female |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 11505 Cinema Drive, D'iberville, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750438255
- Provider Enumeration Date: 01/05/2007
- Last Update Date: 03/12/2012
Medical Identifiers
Medical identifiers for Andrea L Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750438255 | NPI | - | NPPES |
| 01524745 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 3349-05 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrea L Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Andrea L Davis, DDS
11505 Cinema Drive, Suite 6,
D'iberville, MS 39540
Ph: (228) 396-9000 | Andrea L Davis, DDS
11505 Cinema Drive, Suite 6,
D'iberville, MS 39540
Ph: (228) 396-9000 |
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