Fallon Davis, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

01863 Issued in AR

Legal business name

FALLON DAVIS, D.D.S.

Practice address

10319 W Markham St Ste 100
Little Rock, AR 72205-4555

Phone

(501) 227-5567

Fax

(501) 227-5268

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Fallon Anthony Davis, D.D.S

Title

Owner

Phone

(501) 227-5567

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ted W Jolley, DDS

  • Dentist
  • Little Rock, AR
  • NPI 1306152434
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346441102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10319 W MARKHAM ST STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054555",
            "telephone_number": "501-227-5567",
            "fax_number": "501-227-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10319 W MARKHAM ST STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054555",
            "telephone_number": "501-227-5567",
            "fax_number": "501-227-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLON DAVIS, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "FALLON",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-227-5567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "01863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  TYPE 1",
            "identifier": "1578656369",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alee Fairris, OTR/L
• Charlotte Faison
• Faith Dental Clinic
• Marielle Falki
• Dale Thomas Fallis
• Nathan T Falls, MD
• Tiara Falls
• Family Counseling & Recovery Centers
• Family Medical Center Pharmacy Inc
• Family Pavilion LLC

• General Practice Dentistry in Little Rock, AR
• Providers in Little Rock, AR by specialty
• General Practice Dentistry in Arkansas

• 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.