Meredith Leigh Davis, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3620 Issued in ME

Practice address

171 Congress Ave
Bath, ME 04530-1531

Phone

(207) 443-9721

Fax

(207) 443-9722

NPI assigned

Jan 15, 2007

Last updated

Jan 13, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1174674485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 CONGRESS AVE",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045301531",
            "telephone_number": "207-443-9721",
            "fax_number": "207-443-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 CONGRESS AVE",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045301531",
            "telephone_number": "207-443-9721",
            "fax_number": "207-443-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MEREDITH",
        "middle_name": "LEIGH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "3620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raylene Copp, OTR/L
• Corrective Motion Chiropractic and Rehabilitation Inc.
• CVS State Capital LLC
• David S Hill, MD
• Clara Yajahira Davis, IDC
• Carl S Demars, MD
• Benjaman Ray Desmond, DENTAL HYGIENIST
• Gillian Denise Desmond, DENTAL HYGIENIST
• Kristin Ann Desrochers, OTR/L
• Karen Jo Dilley, LCSW

• General Practice Dentistry in Bath, ME
• Providers in Bath, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.