Stephen a Davis DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2096 Issued in WV

Legal business name

STEPHEN A DAVIS DDS PLLC

Practice address

447 Oakwood Avenue
Williamstown, WV 26187

Phone

(304) 375-7742

Fax

(304) 375-9161

NPI assigned

Apr 4, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Stephen A Davis, DDSNPI 1992871834

Title

Dentist Owner

Phone

(304) 375-7742

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Stephen A Davis, DDS

  • General Practice Dentistry
  • Williamstown, WV
  • NPI 1992871834
  NPD (past) Authorized official
• Shannon R Stevens-McLain, D.D.S.

  • General Practice Dentistry
  • Williamstown, WV
  • NPI 1467554386
  NPD (past)

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1508039017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 OAKWOOD AVENUE",
            "city": "WILLIAMSTOWN",
            "state": "WV",
            "postal_code": "26187",
            "telephone_number": "304-375-7742",
            "fax_number": "304-375-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 OAKWOOD AVENUE",
            "city": "WILLIAMSTOWN",
            "state": "WV",
            "postal_code": "26187",
            "telephone_number": "304-375-7742",
            "fax_number": "304-375-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN A DAVIS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "304-375-7742",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "2096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0273707",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Small
• Brandy Smith, QMHS
• Zachary Smith
• Robert Stanley, PT, DPT
• Caleb J Staunton
• Shannon R Stevens-McLain, D.D.S.
• Tammie Stewart
• Denise R Strode
• Reba Stull
• Juanita S Styer

• General Practice Dentistry in Williamstown, WV
• Providers in Williamstown, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.