Duane Allen Davis, D.M.D.

Dentist · Mount Vernon, IL

Individual Active NPI

NPI number 1912929191

Practice location

1704 Jefferson Ave
Mount Vernon, IL 62864-4331
Phone
(618) 244-2440
Fax
(618) 244-0607

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NPI record

NPI
1912929191
Entity type
Individual (Type 1)
Enumeration date
July 24, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X — IL

Mailing address

12107 E Idlewood Dr
Mount Vernon, IL 62864-8415
Phone
(618) 242-0915

About Dr. Davis

Duane Allen Davis, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1704 Jefferson Ave, Mount Vernon, IL 62864-4331. The NPI number 1912929191 was assigned on July 24, 2006 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Duane Allen Davis, D.M.D.?

The NPI number is 1912929191.

What is the phone number of Dr. Davis?

The phone number listed for the practice location is (618) 244-2440.

Where is Dr. Davis located?

1704 Jefferson Ave, Mount Vernon, IL 62864-4331.

What is the taxonomy code for Dr. Davis?

The primary taxonomy code is 122300000X – Dentist.

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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