| William O. Davis, Dds | |
|
1421 N 10th St Mcallen TX 78501-4319 | |
| (956) 631-5481 | |
| (956) 618-1776 |
| Full Name | William O. Davis, Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1421 N 10th St, Mcallen, Texas |
| Authorized Official Name and Position | William O. Davis (OWNER) |
| Authorized Official Contact | 9566315481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William O. Davis, Dds 1421 N 10th St Mcallen TX 78501-4319 Ph: (956) 631-5481 | William O. Davis, Dds 1421 N 10th St Mcallen TX 78501-4319 Ph: (956) 631-5481 |
| NPI Number | 1013174879 |
|---|---|
| Provider Enumeration Date | 05/20/2008 |
| Last Update Date | 05/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013174879 | NPI | - | NPPES |
| 165105103 | Medicaid | TX | |
| 008143201 | Medicaid | TX | |
| 090610901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D12719 (Texas) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 21597 (Texas) | Secondary |
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