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Contact Information

ANDREA L DAVIS DDS PC
11505 CINEMA DR
SUITE 6
D'IBERVILLE, MS39540-9704
 Phone: 228-396-9000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ANDREA L DAVIS DDS PC

NPI Number 1427327725
LBN Legal business name ANDREA L DAVIS DDS PC
Authorized official ANDREA DAVIS - (DENTIST/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/16/2011
Last updated 05/20/2021 - About 5 years ago
Identifiers
MS License # 334905
MS Medicaid 01524745
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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