| Randall L Davis DMD PC | |
|
100 Amesbury St Ste 203 Lawrence MA 01840 | |
| (978) 686-8500 | |
| (978) 686-4032 |
| Full Name | Randall L Davis DMD PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 Amesbury St, Lawrence, Massachusetts |
| Authorized Official Name and Position | Randall L Davis (OWNER) |
| Authorized Official Contact | 9786868500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall L Davis DMD PC 100 Amesbury St Ste 203 Lawrence MA 01840 Ph: (978) 686-8500 | Randall L Davis DMD PC 100 Amesbury St Ste 203 Lawrence MA 01840 Ph: (978) 686-8500 |
| NPI Number | 1831226117 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 03/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831226117 | NPI | - | NPPES |
| X11220 | Other | MA | BC BS |
| 9785914 | Medicaid | MA | |
| 30312396 | Other | NH | MEDICAI |
| 046143185 | Other | MA | DELTA DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20413 (Massachusetts) | Primary |
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