Davidson Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DAVIDSON DENTAL CENTER

Practice address

200 N Jackson St
Athens, TN 37303-3640

Phone

(423) 745-8363

Fax

(423) 744-8462

NPI assigned

Sep 21, 2010

Last updated

Sep 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles G Davidson Jr., DDS

Title

Dentist/Owner

Phone

(423) 745-8363

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abby Swaim, RDH

  • Dental Hygienist
  • Athens, TN
  • NPI 1811606742
  NPD (past)

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1558679860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N JACKSON ST",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033640",
            "telephone_number": "423-745-8363",
            "fax_number": "423-744-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N JACKSON ST",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033640",
            "telephone_number": "423-745-8363",
            "fax_number": "423-744-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDSON DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "423-745-8363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Rachelle Curtis, RDH
• Teresa Lorraine D'Avanzo, OT
• Delphine Dah
• Carla Anne Dahm, MSN, APN, PMHNP-BC
• William Keith Daugherty
• Ashley Y Davis, FNP
• Lydia Mae Davis, OTR/L
• Michelle L Davis, NP
• Shelby Jean Davis, DNP, FNP-C
• Alexandra Deloach

• General Practice Dentistry in Athens, TN
• Providers in Athens, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.