Brittany L Davis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4321-22 Issued in MS

Practice address

28 Pass Rd Ste 300
Gulfport, MS 39507-3244

Phone

(228) 863-4009

NPI assigned

Jul 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Andrea L Davis DDS PC

  dba Divine Dentistry

  • General Practice Dentistry
  • D'Iberville, MS
  • NPI 1427327725
  NPD (past)

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1407581408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 PASS RD STE 300",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 PASS RD STE 300",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073244",
            "telephone_number": "228-863-4009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11505 Cinema Dr",
            "address_purpose": "LOCATION",
            "city": "Diberville",
            "state": "MS",
            "postal_code": "395409704",
            "country_code": "US",
            "telephone_number": "615-268-0750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BRITTANY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "4321-22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin M Davidson, MD
• Jordan Davidson
• Madelyn Davidson, RBT
• Morgan Davis Solomon
• Brian Keith Davis, D.C.
• Christina Machelle Davis, P-LPC, M.S.
• Janaye Davis, PCMHT
• Jennifer Lynn Davis, CPSS, BSW
• Kimberly A Davis, CRNA
• Mallory Davis

• General Practice Dentistry in Gulfport, MS
• Providers in Gulfport, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.