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Contact Information

THEODORE DAVIS, DMD
804 CLINTON AVE
CLINTON HILL DENTAL ASSOC
NEWARK, NJ07108
 Phone: 973-374-5200
 Fax: 973-374-5609
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for THEODORE DAVIS · (Male)

NPI Number 1023097425
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 01/13/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 2108128
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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