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Contact Information

JOHN PHILIP M DAVIS, DDS
4100 W 28TH AVE
PINE BLUFF, AR71603-4726
 Phone: 870-879-4870
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JOHN PHILIP M DAVIS · (Male)

NPI Number 1013490218
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/13/2018
Last updated 09/13/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AR License # 4306
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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