| Philip Davis, DDS PA | |
|
4100 W 28th Ave Pine Bluff AR 71603-4726 | |
| (870) 879-4870 | |
| Not Available |
| Full Name | Philip Davis, DDS PA |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4100 W 28th Ave, Pine Bluff, Arkansas |
| Authorized Official Name and Position | Sara Burrow (INSURANCE ADMIN) |
| Authorized Official Contact | 5019401530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philip Davis, DDS PA 4100 W 28th Ave Pine Bluff AR 71603-4726 Ph: (870) 879-4870 | Philip Davis, DDS PA 4100 W 28th Ave Pine Bluff AR 71603-4726 Ph: (870) 879-4870 |
| NPI Number | 1952998114 |
|---|---|
| Provider Enumeration Date | 12/22/2020 |
| Last Update Date | 12/22/2020 |
| Certification Date | 12/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952998114 | NPI | - | NPPES |
| 230610608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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