Byron A Davis, D.D.S, M.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

4182 Issued in SC

Practice address

4 Okatie Center Blvd S Ste 103
Okatie, SC 29909

Phone

(843) 705-9551

Fax

(843) 705-9552

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Davis and Wine Dental Associates, LLC

  • General Practice Dentistry
  • Okatie, SC
  • NPI 1417127028

  Prosthodontics

  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1669533725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11706 MERCY BLVD",
            "address_2": "SUITE 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31419",
            "telephone_number": "912-925-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 OKATIE CENTER BLVD S STE 103",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "29909",
            "telephone_number": "843-705-9551",
            "fax_number": "843-705-9552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Sheridan Park Cir Ste C",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299106027",
            "country_code": "US",
            "telephone_number": "843-815-5400",
            "fax_number": "843-815-5402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11706 Mercy Blvd",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314191751",
            "country_code": "US",
            "telephone_number": "912-925-3400",
            "fax_number": "912-925-2146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BYRON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "GA",
            "license": "DN013298",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "SC",
            "license": "4182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Compass Rehabilitation
• Compass Rehabilitation
• Stephen Wilson Crapps, MSPT, STC
• Theotis Daniels, DPT
• Davis and Wine Dental Associates, LLC
• Carianna Joelle Davison, PT
• Heidi Harrington Deleon, M.D.
• Alexandra Dickason
• DLS Homecare
• Rhonda Michelle Durham, A-GNP-C

• Prosthodontics in Okatie, SC
• Providers in Okatie, SC by specialty
• Prosthodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.