Richard Davidson, D.M.D.,M.S.

Periodontics · Clayton, MO

Individual Active NPI

NPI number 1174732416

Practice location

950 Francis Pl
Suite 117
Clayton, MO 63105-2465
Phone
(314) 721-4860
Fax
(314) 721-4860

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NPI record

NPI
1174732416
Entity type
Individual (Type 1)
Enumeration date
May 22, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X 11304 MO

Mailing address

35 Summerhill Ln
Chesterfield, MO 63017-8408
Phone
(314) 434-1107

About Dr. Davidson

Richard Davidson, D.M.D.,M.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 950 Francis Pl, Suite 117, Clayton, MO 63105-2465. The NPI number 1174732416 was assigned on May 22, 2007 and the record was last updated on July 8, 2007.

Dr. Davidson lists a license in the registry: #11304 (MO) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Richard Davidson, D.M.D.,M.S.?

The NPI number is 1174732416.

What is the phone number of Dr. Davidson?

The phone number listed for the practice location is (314) 721-4860.

Where is Dr. Davidson located?

950 Francis Pl, Suite 117, Clayton, MO 63105-2465.

What is the taxonomy code for Dr. Davidson?

The primary taxonomy code is 1223P0300X – Periodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.