Jordan Leigh Davis, DDS
General Practice Dentistry · Edgerton, WI
Practice location
225 W Fulton StEdgerton, WI 53534-1865
- Phone
- (608) 884-9448
NPI record
- NPI
- 1982124541
- Entity type
- Individual (Type 1)
- Enumeration date
- June 26, 2017
- Last updated
- December 6, 2021
- Certified
- December 6, 2021
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
1001620 | WI |
| Dentist | 122300000X |
1001620 | WI |
Mailing address
621 N Page StStoughton, WI 53589-1432
- Phone
- (608) 436-1595
Other practice locations (1)
- 1111 Suffolk Dr, Janesville, WI 53546-1608 · (608) 752-6848
About Dr. Davis
Jordan Leigh Davis, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 225 W Fulton St, Edgerton, WI 53534-1865. The NPI number 1982124541 was assigned on June 26, 2017 and the record was last updated on December 6, 2021.
Dr. Davis lists 2 licenses in the registry: #1001620 (WI) for General Practice Dentistry; #1001620 (WI) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jordan Leigh Davis, DDS?
The NPI number is 1982124541.
What is the phone number of Dr. Davis?
The phone number listed for the practice location is (608) 884-9448.
Where is Dr. Davis located?
225 W Fulton St, Edgerton, WI 53534-1865.
What is the taxonomy code for Dr. Davis?
The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.
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 General Practice Dentistry providers in Edgerton
- Thomas H. Reitz, D.D.S., S.C.1007 N Main St
- Thomas H Reitz DDS SC1007 N Main St