Davis, Jody Ann
Davis, Jody Ann is an individual health care provider with primary practice located at 220 E Rogers Rd , Longmont CO 80501-6027. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Davis, Jody Ann can be contacted via phone (303) 776-3250.Contact Information
Primary practice address
220 E Rogers Rd
Longmont CO 80501-6027
Phone: (303) 776-3250
Fax: (303) 682-9269
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 10076 | Colorado |
Profile Details
| NPI number | 1790927366 |
|---|---|
| LBN Legal business name | Davis, Jody Ann |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2009 |
| Last updated | Nov 8th, 2013 - about 13 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 | 1790927366 | NPPES |
| Colorado | MEDICAID | 47670231 |
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