Dr Glen Andrew Davis, DDS is a
Dentist - General Practice based in Woodville, Ohio. Dr Glen Andrew Davis is licensed to practice in Ohio (license number 19382) and his current practice location is
109 N Elm St, Woodville, Ohio. He can be reached at his office (for appointments etc.) via phone at
(419) 849-3771.
NPI number for Dr Glen Andrew Davis is 1225173289 and his current mailing address is 109 N Elm St, P.o. Box 141, Woodville, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225173289.
Healthcare Provider's Profile
| Full Name | Dr Glen Andrew Davis |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
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| Location | 109 N Elm St, Woodville, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1225173289
- Provider Enumeration Date: 02/20/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Glen Andrew Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225173289 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 19382 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Glen Andrew Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Glen Andrew Davis, DDS
109 N Elm St, P.o. Box 141,
Woodville, OH 43469-1116
Ph: (419) 849-3771 | Dr Glen Andrew Davis, DDS
109 N Elm St,
Woodville, OH 43469-1116
Ph: (419) 849-3771 |
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