Michael E. Davis DMD, PC

Exclusive Provider Organization · Portland, OR

Organization Active NPI

NPI number 1679635023

Practice location

2250 NW Flanders St
Suite 212
Portland, OR 97210-3443
Phone
(503) 248-1114
Fax
(503) 248-1827

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NPI record

NPI
1679635023
Entity type
Organization (Type 2)
Enumeration date
December 14, 2006
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Exclusive Provider Organization Primary 302F00000X 4512 OR

Authorized official

Name
Dr. Michael Edward Davis, DMD
Title
President
Phone
(503) 248-1114

About Michael E. Davis DMD, PC

Michael E. Davis DMD, PC is a healthcare organization registered in the NPI registry with the primary taxonomy Exclusive Provider Organization (code 302F00000X). The practice location is 2250 NW Flanders St, Suite 212, Portland, OR 97210-3443. The NPI number 1679635023 was assigned on December 14, 2006 and the record was last updated on August 22, 2020.

Michael E. Davis DMD, PC lists a license in the registry: #4512 (OR) for Exclusive Provider Organization. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Michael Edward Davis, DMD, President.

Frequently asked questions

What is the NPI number of Michael E. Davis DMD, PC?

The NPI number is 1679635023.

What is the phone number of Michael E. Davis DMD, PC?

The phone number listed for the practice location is (503) 248-1114.

Where is Michael E. Davis DMD, PC located?

2250 NW Flanders St, Suite 212, Portland, OR 97210-3443.

What is the taxonomy code for Michael E. Davis DMD, PC?

The primary taxonomy code is 302F00000X – Exclusive Provider Organization.

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.

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