Casey Davis, DDS is a
Dentist based in Camp Pendleton North, California. Casey Davis is licensed to practice in Ohio (license number 30.027505) and his current practice location is
92055 14th Street, Camp Pendleton North, California. He can be reached at his office (for appointments etc.) via phone at
(760) 725-5870.
NPI number for Casey Davis is 1194555862 and his current mailing address is 8253 Northridge Rd, Johnstown, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194555862.
Healthcare Provider's Profile
| Full Name | Casey Davis |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 92055 14th Street, Camp Pendleton North, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1194555862
- Provider Enumeration Date: 08/06/2024
- Last Update Date: 08/06/2024
Medical Identifiers
Medical identifiers for Casey Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194555862 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 30.027505 (Ohio) | 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. Casey 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 |
|---|
Casey Davis, DDS
8253 Northridge Rd,
Johnstown, OH 43031-3506
Ph: () - | Casey Davis, DDS
92055 14th Street,
Camp Pendleton North, CA 92058
Ph: (760) 725-5870 |
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