Vincent H Davis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10290 Issued in MD

Practice address

1836 Metzerott Rd
Suite 118
Adelphi, MD 20783-3475

Phone

(301) 445-5800

Fax

(301) 445-5884

NPI assigned

Nov 27, 2007

Last updated

Nov 27, 2007By the provider in NPPES

Sex

Male

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": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1114108636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3306",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207913306",
            "telephone_number": "301-333-5882",
            "fax_number": "301-333-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 METZEROTT RD",
            "address_2": "SUITE 118",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207833475",
            "telephone_number": "301-445-5800",
            "fax_number": "301-445-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "VINCENT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "10290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CN SBHC Sonia Sotomayor Ms
• Lori M. Cottman, D.C.
• Blondell Miranda Daley
• John Darpino
• Tauhid Davis
• Carine Sylvie Kawo Deffo
• Nelson Y Degoh
• Monica Diaz-Lopez
• Adjoa Mawusse Djambibi
• Aicha Djamy

• General Practice Dentistry in Adelphi, MD
• Providers in Adelphi, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.