Buris Parker Davis, Jr., D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2989 Issued in AL

Practice address

216 Healthwest Dr
Dothan, AL 36303-1942

Phone

(334) 792-2880

Fax

(334) 792-9336

NPI assigned

Nov 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1295719623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3367 COUNTY ROAD 73",
            "city": "NEWVILLE",
            "state": "AL",
            "postal_code": "363537084",
            "telephone_number": "334-889-4537",
            "fax_number": "334-792-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 HEALTHWEST DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031942",
            "telephone_number": "334-792-2880",
            "fax_number": "334-792-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS, JR.",
        "first_name": "BURIS",
        "middle_name": "PARKER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AL",
            "license": "2989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000001636",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "464392",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAL DOTHAN OFFICE",
            "identifier": "51091607",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAL ENTERPRISE OFFICE",
            "identifier": "51097734",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David C Ghostley PSYD Inc
• David Scott Long DMD LLC
• Amelia Michelle Davis, PHARM.D.
• Brian Davis
• Hugh H Davis, MD
• Kacie Amanda Davis, PA
• William Steve Davis, MD
• Sara Dawit, MD
• Amanda Dawkins, M.S., LPC
• Lisa Dawsey-Baker

• Oral and Maxillofacial Surgery (Dentist) in Dothan, AL
• Providers in Dothan, AL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.