Guy George Davis DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

23817 Issued in CA

Legal business name

GUY GEORGE DAVIS DDS INC

Practice address

2627 Pacific Ave
Stockton, CA 95204

Phone

(209) 462-9300

Fax

(209) 462-9313

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Guy George Davis Jr., DDSNPI 1265595029

Title

Dentist

Phone

(209) 462-9300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Guy George Davis, DDS

  • General Practice Dentistry
  • Stockton, CA
  • NPI 1265595029
  NPD (past) Authorized official

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1780884627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 PACIFIC AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95204",
            "telephone_number": "209-462-9200",
            "fax_number": "209-462-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 PACIFIC AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95204",
            "telephone_number": "209-462-9300",
            "fax_number": "209-462-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUY GEORGE DAVIS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "209-462-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "23817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE/MEDICAL",
            "identifier": "#G9414601",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valery Gris Gutierrez
• Vanessa Gutierrez
• Yareli Gutierrez
• Zaira Gutierrez
• Jon Christopher Gutoman
• Bruce Lane Guyton
• Marili Guzman Duenas
• Tatiana Guzman Sanchez
• Sara Guzman-Estrada
• Anthony Jay Thomas Guzman

• Dental Clinic/Center in Stockton, CA
• Providers in Stockton, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.