Clara P Davis, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7166 Issued in NC

Legal business name

CLARA P DAVIS, DDS, PLLC

Practice address

121 Sherron Rd
Suite 108
Durham, NC 27703-9515

Phone

(919) 598-0780

Fax

(919) 598-0781

NPI assigned

Mar 25, 2008

Last updated

Jun 19, 2008By 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. Clara Powell Davis, DDS

Title

Member/Manager

Phone

(919) 598-9001

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1578735080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SHERRON RD",
            "address_2": "SUITE 108",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277039515",
            "telephone_number": "919-598-0780",
            "fax_number": "919-598-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SHERRON RD",
            "address_2": "SUITE 108",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277039515",
            "telephone_number": "919-598-0780",
            "fax_number": "919-598-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARA P DAVIS, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "POWELL",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "919-598-9001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899016M",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9016M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Carolina P Clancy, PH.D.
• Renn Deanna Clapp
• Clare a. Stadlen, LCSW, PLLC
• Glenda Clare, LCMHC, LPC
• Suzanne Clare, DC
• Clarity Co Counseling, PLLC
• Clark & Otero DDS PLLC (Oak Grove Dental)

• General Practice Dentistry in Durham, NC
• Providers in Durham, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.