Michael Davidson, DMD
Individual provider Active NPI General Practice Dentistry · Northfield, OH
NPI 1497231963 · NPPES record last updated Jul 17, 2018
Key facts
- NPI
- 1497231963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 30.025538 (OH)
- Practice address
- 9365 Olde 8 Rd
Northfield, OH 44067-2052 - Phone
- (330) 467-6066
- NPI assigned
- Jul 17, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.025538 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William R. Davidson, D.D.S.& Assoc., Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30.025538 | OH | Yes |
Addresses
Primary practice location
9365 Olde 8 Rd
Northfield, OH 44067-2052
Mailing address
9365 Olde 8 Rd
Northfield, OH 44067-2052
Other providers in Northfield, OH
- Sharon Cooper
- Kallie Maree Coy
- Kristi Coyne
- Crossroads Chiropractic Center, LLC
- Ashley Czech
- William R Davidson
- Andrew J Deak
- Elizabeth Ansli Dewees
- Lu Ann Deyling
- Thomas Dillingham
All providers in Northfield, OH · General Practice Dentistry in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.