| Davis, Tyler | |
|
814 S Main St Wake Forest NC 27587-2808 | |
| (919) 556-3780 | |
| Not Available |
| Full Name | Davis, Tyler |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 814 S Main St, Wake Forest, North Carolina |
| Authorized Official Name and Position | Tyler Matheson Davis (DENTIST) |
| Authorized Official Contact | 9195563780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Davis, Tyler 814 S Main St Wake Forest NC 27587-2808 Ph: (919) 556-3780 | Davis, Tyler 814 S Main St Wake Forest NC 27587-2808 Ph: (919) 556-3780 |
| NPI Number | 1982191789 |
|---|---|
| Provider Enumeration Date | 04/17/2018 |
| Last Update Date | 09/25/2018 |
| Medicare PECOS PAC ID | 6507126182 |
|---|---|
| Medicare Enrollment ID | O20180523002654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982191789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8811 (North Carolina) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
Premier Dentistry Of Wake Forest Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2824 Rogers Rd Ste 103, Wake Forest, NC 27587 Phone: 919-554-4588 | |
Premier Dentistry Of Wake Forest Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2824 Rogers Rd, Suite 103, Wake Forest, NC 27587 Phone: 919-554-4588 | |
Dr. Cameron & Associates Of Wake Forest I, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2824 Rodgers Rd., Ste. 201, Wake Forest, NC 27587 Phone: 919-435-7660 | |
Gentle Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Capcom Ave, Wake Forest, NC 27587 Phone: 919-556-3130 Fax: 919-556-6180 | |
Triangle Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3415 Rogers Rd, Suite 100, Wake Forest, NC 27587 Phone: 919-554-9955 Fax: 919-554-9955 | |
Ideal Dental Wake Forest Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 Dr Calvin Jones Hwy, #120, Wake Forest, NC 27587 Phone: 919-453-5016 Fax: 984-646-5518 | |
Galligan Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11420 Falls Of Neuse Rd, Wake Forest, NC 27587 Phone: 919-562-5433 |