| Maurice Davis Dds Pa | |
|
100 Elm St Weldon NC 27890 | |
| (252) 536-3105 | |
| (252) 536-4607 |
| Full Name | Maurice Davis Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 Elm St, Weldon, North Carolina |
| Authorized Official Name and Position | Anzell Maurice Davis (OWNER) |
| Authorized Official Contact | 2525363105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maurice Davis Dds Pa Po Box 805 100 Elm St Weldon NC 27890 Ph: (252) 536-3105 | Maurice Davis Dds Pa 100 Elm St Weldon NC 27890 Ph: (252) 536-3105 |
| NPI Number | 1093886954 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093886954 | NPI | - | NPPES |
| 8992022 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4627 (North Carolina) | Primary |