NPIMap

Organization Active NPI

Alphonzo L. Davidson Sr,D.D.S.,PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Largo, MD
National Provider Identifier
1821301599
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
5342 Issued in MD
Legal business name
ALPHONZO L. DAVIDSON SR,D.D.S.,PA
Practice address
932 Largo Center Dr
Largo, MD 20774-3704
Phone
(301) 322-8900
Fax
(301) 322-2840
NPI assigned
Jul 22, 2010
Last updated
Jul 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Authorized official

Name
Alphonzo L Davidson Sr., DDS,PANPI 1700943883
Title
Oral Maxillofacial Surgeon
Phone
(301) 322-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 5342 MD Primary

Addresses

Primary practice location

932 Largo Center Dr
Largo, MD 20774-3704

Mailing address

932 Largo Center Dr
Largo, MD 20774-3704
Phone (301) 322-8900

National Provider Directory

National Provider Directory

Locations

932 Largo Center Dr
Upper Marlboro, MD 20774
Phone (301) 322-8900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1821301599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 LARGO CENTER DR",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207743704",
            "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": "932 LARGO CENTER DR",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207743704",
            "telephone_number": "301-322-8900",
            "fax_number": "301-322-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHONZO L. DAVIDSON SR,D.D.S.,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "ALPHONZO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ORAL MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "301-322-8900",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS,PA"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "5342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.