Melissa Davis, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DENH1079 Issued in AK

Practice address

1222 Cowles St
Fairbanks, AK 99701-4313

Phone

(907) 378-9136

NPI assigned

Jun 12, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1043994932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58517",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997110517",
            "telephone_number": "907-378-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014313",
            "telephone_number": "907-378-9136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2910 Bear Ave",
            "address_purpose": "LOCATION",
            "city": "North Pole",
            "state": "AK",
            "postal_code": "99705",
            "country_code": "US",
            "telephone_number": "907-378-9136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MELISSA",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "AK",
            "license": "DENH1079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanci Kay Davis
• Coleton David Davis, PTA
• Jennifer Davis
• Julie Christine Davis
• Mary Ella Davis, LMT
• Nadia Marie Davis
• Patti Ann Davis
• Rebecca Davis, MD
• Regina Lynn Davis, LCSW
• Rita Davis

• Dental Hygienist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Dental Hygienist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.