Bo M. Davidson, D.D.S., M.S.

Pediatric Dentistry · Lacey, WA

Individual Active NPI

NPI number 1487827275

Practice location

8685 Martin Way E Ste 101
Lacey, WA 98516
Phone
(360) 489-1406
Fax
(360) 491-1270

Open in Google Maps

NPI record

NPI
1487827275
Entity type
Individual (Type 1)
Enumeration date
April 11, 2008
Last updated
July 3, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X DE60112868 WA

Mailing address

8685 Martin Way SE Ste 101
Lacey, WA 98516
Phone
(360) 489-1406
Fax
(360) 491-1270

About Dr. Davidson

Bo M. Davidson, D.D.S., M.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 8685 Martin Way E Ste 101, Lacey, WA 98516. The NPI number 1487827275 was assigned on April 11, 2008 and the record was last updated on July 3, 2018.

Dr. Davidson lists a license in the registry: #DE60112868 (WA) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

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

The NPI number is 1487827275.

What is the phone number of Dr. Davidson?

The phone number listed for the practice location is (360) 489-1406.

Where is Dr. Davidson located?

8685 Martin Way E Ste 101, Lacey, WA 98516.

What is the taxonomy code for Dr. Davidson?

The primary taxonomy code is 1223P0221X – Pediatric Dentistry.

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.

Other Pediatric Dentistry providers in Lacey

All Pediatric Dentistry providers in Lacey, WA →