Dr. Shelley H, Davis DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR. SHELLEY H, DAVIS DMD

Practice address

3221 Audubon Dr
Laurel, MS 39440-1422

Phone

(601) 649-3900

NPI assigned

Jul 11, 2007

Last updated

Jul 11, 2007By 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. Shelley H. Davis, DMD

Title

Owner

Phone

(601) 649-3900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1629277629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 AUDUBON DR",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401422",
            "telephone_number": "601-649-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 AUDUBON DR",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401422",
            "telephone_number": "601-649-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SHELLEY H, DAVIS DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-649-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.