Tom Davies, D.D.S., LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D-4403 Issued in ID

Legal business name

TOM DAVIES, D.D.S., LLC

Practice address

103 Superior St
Sandpoint, ID 83864-1394

Phone

(760) 519-5712

Fax

(888) 222-6516

NPI assigned

Jan 11, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Davies, D.D.S.

Title

Manager

Phone

(760) 519-5712

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1205106945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3688 WRENCOE LOOP RD",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838646383",
            "telephone_number": "760-519-5712",
            "fax_number": "888-222-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SUPERIOR ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641394",
            "telephone_number": "760-519-5712",
            "fax_number": "888-222-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM DAVIES, D.D.S., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "760-519-5712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ID",
            "license": "D-4403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Dental Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.