Deanna L Davis DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

22277 Issued in TX

Legal business name

DEANNA L DAVIS DDS PLLC

Doing business as

Smile Village Dental Care

Practice address

12810 Broadway St. Ste
110
Pearland, TX 77584-6707

Phone

(713) 817-2966

NPI assigned

Mar 2, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Deanna Lynn Davis, D.D.S.NPI 1649355124

Title

General Dentist

Phone

(713) 817-2966

Specialties & licenses 1

Addresses

Other names 1

• Smile Village Dental Care Doing business as

Locations

Practitioners 1

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

• Deanna Lynn Davis, DDS

  • Dentist
  • Pearland, TX
  • NPI 1649355124
  NPD (past) Authorized official

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1649630757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13207 BROAD BAY LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775846707",
            "telephone_number": "713-817-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 BROADWAY ST. STE",
            "address_2": "110",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775846707",
            "telephone_number": "713-817-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEANNA L DAVIS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "713-817-2966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "22277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Village Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie De la Cruz
• Ashley De la Fuente-Santana, MS, LPC
• Aliyah Marie De la Garza, BCBA
• James De Vera, D.D.S.
• Cassidy Dean, CCC-SLP
• Barbara Deberry
• Myra Pacaldo Debonte, NP
• Brier Debose
• Sharqi Debose
• Jason Everett Decker, M.D.

• Dentist in Pearland, TX
• Providers in Pearland, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.