Davis, Andrew
Davis, Andrew is an individual health care provider with primary practice located at 200 W Magnolia Ave Suite 120, Fort Worth TX 76104-7644. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Davis, Andrew can be contacted via phone (817) 665-1323.Contact Information
Primary practice address
200 W Magnolia Ave Suite 120
Fort Worth TX 76104-7644
Phone: (817) 665-1323
Fax: (817) 871-9074
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | 0022258 | Texas |
Profile Details
| NPI number | 1770517351 |
|---|---|
| LBN Legal business name | Davis, Andrew |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770517351 | NPPES |
| Texas | Other | 0022258 | DDS LICENSE |
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