Stephen D. Davis DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

21791 Issued in CA

Legal business name

STEPHEN D. DAVIS DDS INC

Practice address

4757 Hoen Ave
Santa Rosa, CA 95405-7862

Phone

(707) 575-9595

Fax

(707) 575-9595

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Davis Davis, DDS

Title

President

Phone

(707) 575-9595

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245452069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4757 HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057862",
            "telephone_number": "707-575-9595",
            "fax_number": "707-575-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4757 HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057862",
            "telephone_number": "707-575-9595",
            "fax_number": "707-575-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN D. DAVIS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-575-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "21791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Marie Stempe, P.T.
• Meadow Rose Stempek, NP
• Marilyn Obrien Stender, LMFT
• Patricia Frances Stenger, MFT
• Stephanie Settimi DDS, Inc
• Stephen Pinsk, M.D., Inc.
• Ange Stephens, M.A., MFT
• Fred Wesley Stephens Jr., L.C.S.W.
• B. Sue Stephenson, MD
• Larissa Sternberger, DC

• Dental Clinic/Center in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.