Kenneth Houston Davis, DMD is a medicare enrolled "Dentist" provider in Taylor, Arizona. His current practice location is
606 N Main Street, Taylor, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 457-0758.
Kenneth Houston Davis is licensed to practice in Arizona (license number D7589) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1730343013.
Healthcare Provider's Profile
Full Name | Kenneth Houston Davis |
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Gender | Male |
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Speciality | Dentist |
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Location | 606 N Main Street, Taylor, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730343013
- Provider Enumeration Date: 07/15/2008
- Last Update Date: 04/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 6800187964
- Enrollment ID: I20160620002310
Medical Identifiers
Medical identifiers for Kenneth Houston Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730343013 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | D7589 (Arizona) | 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. Kenneth Houston Davis is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kenneth Houston Davis, DMD Po Box 1550, Taylor, AZ 85939-1550 Ph: (928) 457-0758 | Kenneth Houston Davis, DMD 606 N Main Street, Taylor, AZ 85939 Ph: (928) 457-0758 |
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