Alphonzo L. Davidson Sr., D.D.S., P.A.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DEN2524 Issued in DC

Practice address

9470 Annapolis Road #303
Lanham, MD 20706

Phone

(301) 322-8900

Fax

(301) 322-2840

NPI assigned

Jan 2, 2007

Last updated

Feb 3, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 30, 2023 through Jun 30, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

• Alphonzo L. Davidson Sr,D.D.S.,PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Largo, MD
  • NPI 1821301599
  Authorized official Same address or phone

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1700943883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9470 ANNAPOLIS ROAD #303",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "20706",
            "telephone_number": "301-322-8900",
            "fax_number": "301-322-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9470 ANNAPOLIS ROAD #303",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "20706",
            "telephone_number": "301-322-8900",
            "fax_number": "301-322-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "ALPHONZO",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.D.S.,  P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DC",
            "license": "DEN2524",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "5342",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MD",
            "license": "MD5342",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021605300",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016-704-500",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016704500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oiza Onaseremi Daniyan
• Amber Darkins
• Elizabeth Darroch, PT, DPT
• Marie Sonia Datis
• Daudasalamatu Community Health Services LLC
• Angela K Davidson
• Regyn Davis-Young, CPT
• Balikis Davis
• Jessica Lynn Davis, PTA
• Keisha Davis, CPT

• Oral and Maxillofacial Surgery (Dentist) in Lanham, MD
• Providers in Lanham, MD by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.