Dr Mark A, Davis, DDS is a
Dentist - Dental Public Health based in Shirley, Arkansas. Dr Mark A, Davis is licensed to practice in Arkansas (license number 2455) and his current practice location is
15775 Highway 16 E, Shirley, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(501) 723-8113.
NPI number for Dr Mark A, Davis is 1588778641 and his current mailing address is 15775 Highway 16 E, Shirley, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588778641.
Healthcare Provider's Profile
| Full Name | Dr Mark A, Davis |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - Dental Public Health |
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| Location | 15775 Highway 16 E, Shirley, Arkansas |
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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: 1588778641
- Provider Enumeration Date: 08/18/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Mark A, Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588778641 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223D0001X | Dentist - Dental Public Health | 2455 (Arkansas) | 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. Dr Mark A, 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 |
|---|
Dr Mark A, Davis, DDS
15775 Highway 16 E,
Shirley, AR 72153-8930
Ph: (501) 723-8113 | Dr Mark A, Davis, DDS
15775 Highway 16 E,
Shirley, AR 72153-8930
Ph: (501) 723-8113 |
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