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Contact Information

JOHN R DAVIS, D.D.S.
508 S 52ND ST
ROGERS, AR72758-8600
 Phone: 479-845-1191
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Dental Public Health

1223D0001X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JOHN R DAVIS · (Male)

NPI # 1225057029
Status Active
Credentials D.D.S. (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/19/2006
Last updated 05/07/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • AR License # 4911
  • MO License # 2020022988
  • TX License # 19572
  • Other 752849726 TAX ID
  • AR Other 4911 DENTAL LICENSE
  • MO Other 2020022988 STATE LICENSE
  • TX Other 19572 STATE LICENSE
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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