Paul Frederic Davis, DDS is a
Dentist based in Loon Lake, Washington. Paul Frederic Davis is licensed to practice in Washington (license number DE00005119) and his current practice location is
40217 North Shore Dr., Loon Lake, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 233-9074.
NPI number for Paul Frederic Davis is 1992940803 and his current mailing address is Po Box 765, Loon Lake, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992940803.
Healthcare Provider's Profile
| Full Name | Paul Frederic Davis |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 40217 North Shore Dr., Loon Lake, Washington |
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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: 1992940803
- Provider Enumeration Date: 12/05/2008
- Last Update Date: 12/05/2008
Medical Identifiers
Medical identifiers for Paul Frederic Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992940803 | NPI | - | NPPES |
| 5546205 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DE00005119 (Washington) | 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. Paul Frederic 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 |
|---|
Paul Frederic Davis, DDS
Po Box 765,
Loon Lake, WA 99148-0765
Ph: (509) 233-9074 | Paul Frederic Davis, DDS
40217 North Shore Dr.,
Loon Lake, WA 99148-0765
Ph: (509) 233-9074 |
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