Mellissa Davis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25333 Issued in TX

Practice address

13650 FM 1488 Rd Ste 100
Magnolia, TX 77354-7323

Phone

(512) 689-7895

NPI assigned

Jun 18, 2010

Last updated

Nov 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1922329473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13650 FM 1488 RD STE 100",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773547323",
            "telephone_number": "512-689-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13650 FM 1488 RD STE 100",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773547323",
            "telephone_number": "512-689-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MELLISSA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25333",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025454",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Monique Darby
• Davam Aesthetics and Wellness PLLC (Davam Aesthetics)
• Davam Family Medicine PLLC
• Teresa Davidson, MFT
• Ashley L Davis
• Shanetria R Davis
• Joseph Michael Degioanni, CCC-SLP
• Mia Degitz
• Abigail Rose Deguenther
• Kyle James Delk, OD

• General Practice Dentistry in Magnolia, TX
• Providers in Magnolia, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.