Bruce A. Davey, D.D.S.
Individual provider Active NPI Dentist · Sausalito, CA
NPI 1124235338 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124235338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 29033 (CA)
- Practice address
- 30 Caledonia St
Ste. B
Sausalito, CA 94965-2179 - Phone
- (415) 332-4011
- Fax
- (415) 332-9114
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danielle Abramo Levi DDS Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 29033 | CA | Yes |
Addresses
Primary practice location
30 Caledonia St
Ste. B
Sausalito, CA 94965-2179
Mailing address
30 Caledonia St
Ste. B
Sausalito, CA 94965-2179
Phone (415) 332-4011
Other providers in Sausalito, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.