Paula Davidson, DDS
Individual provider Active NPI Dentist · Quantico, VA
NPI 1912382011 · NPPES record last updated Apr 30, 2025
Key facts
- NPI
- 1912382011
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2015018290 (MO)
- Practice address
- 3259 Catlin Ave
Quantico, VA 22134-5109 - Phone
- (703) 681-8552
- NPI assigned
- Jul 30, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015018290 | MO | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2015018290 | MO | Yes |
Addresses
Primary practice location
3259 Catlin Ave
Quantico, VA 22134-5109
Mailing address
3259 Catlin Ave
Quantico, VA 22134-5109
Other practice location 1
Nh Pensacola 6000 W Hwy 98
Pensacola, FL 32512-1898
Phone (850) 505-6139
Other practice location 2
One Boone Road
Naval Hospital
Bremerton, WA 98312-1898
Phone (360) 315-4287
Other providers in Quantico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.