Henry W. Davis Jr,, DDS, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

5140 Issued in NC

Legal business name

HENRY W. DAVIS JR,, DDS, PLLC

Doing business as

Denture Makers

Practice address

596B E Jackson Blvd
Erwin, NC 28339-9629

Phone

(910) 892-4535

Fax

(910) 892-0255

NPI assigned

May 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Henry W Davis Jr., DDS

Title

President

Phone

(910) 892-4535

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Denture Makers Doing business as

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1144454786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596B E JACKSON BLVD",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "283399629",
            "telephone_number": "910-892-4535",
            "fax_number": "910-892-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596B E JACKSON BLVD",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "283399629",
            "telephone_number": "910-892-4535",
            "fax_number": "910-892-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY W. DAVIS JR,, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-892-4535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "5140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1205862018",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denture Makers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Erwin, NC
• Providers in Erwin, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.