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Contact Information

RANDALL DAVIS, DDS
101 PAGOSA ST
PAGOSA SPRINGS, CO81147
 Phone: 970-264-9436
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for RANDALL DAVIS · (Male)

NPI Number 1134311137
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/14/2007
Last updated 08/14/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 660
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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