Davis, Jerry Robert

Davis, Jerry Robert is an sole proprietor health care provider with primary practice located at 494 S Emerson Ave Suite K, Greenwood IN 46143-1912. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Davis, Jerry Robert can be contacted via phone (317) 882-2880.

Contact Information

Primary practice address
494 S Emerson Ave Suite K Greenwood IN 46143-1912
Phone: (317) 882-2880
Fax: (317) 882-2544
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7595 Indiana

Profile Details

NPI number 1114003597
LBN Legal business name Davis, Jerry Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 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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