Davidson, David W

Davidson, David W is an individual health care provider with primary practice located at 8573 Urbandale Ave , Urbandale IA 50322. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Davidson, David W can be contacted via phone (515) 279-3848.

Contact Information

Primary practice address
8573 Urbandale Ave Urbandale IA 50322
Phone: (515) 279-3848
Fax: (515) 279-4479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6557 Iowa

Profile Details

NPI number 1447310149
LBN Legal business name Davidson, David W
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447310149 NPPES
Iowa Other 4007496 WELLMARK BLUE DENTAL
Iowa MEDICAID 0005207 WELLMARK BLUE DENTAL
Iowa Other 170589 WELLMARK BLUE DENTAL

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