Active NPI
George a,. Davis, Jr., D.D.S., Professional Corporation
- Dentist
- Glendora, CA
National Provider Identifier
1295935328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 295877
- Legal business name
- GEORGE A,. DAVIS, JR., D.D.S., PROFESSIONAL CORPORATION
- Practice address
- 906 S Grand Ave
Glendora, CA 91740-4808 - Phone
- (626) 852-9500
- Fax
- (702) 562-9610
- NPI assigned
- Jul 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George Arnold Davis, D.D.S.
- Title
- Owner
- Phone
- (626) 852-9500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 295877 | CA | Primary |
Addresses
Primary practice location
906 S Grand Ave
Glendora, CA 91740-4808
Mailing address
906 S Grand Ave
Glendora, CA 91740-4808
Phone (626) 852-9500
Other names 1
- Glendora Dental Surgery Center
National Provider Directory
National Provider Directory- Tax ID family
- George a Davis Jr DDS PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Glendora, CA
- NPI 1952512436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295935328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 S GRAND AVE",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917404808",
"telephone_number": "626-852-9500",
"fax_number": "702-562-9610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 S GRAND AVE",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917404808",
"telephone_number": "626-852-9500",
"fax_number": "702-562-9610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE A,. DAVIS, JR., D.D.S., PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "ARNOLD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "626-852-9500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "295877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Glendora Dental Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendora, CA
Sources for this page
- 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.