Dr. Lisa F. Davis, DMD, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR. LISA F. DAVIS, DMD, PLLC

Doing business as

Smiles By Design Dentistry

Practice address

1107 Statesville Blvd Ste C
Salisbury, NC 28144-2287

Phone

(704) 637-6717

Fax

(704) 637-6717

NPI assigned

Mar 26, 2019

Organization subpart

No

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

Authorized official

Name

Guanah Davis, MBA

Title

Chief Executive Officer

Phone

(704) 637-6717

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Smiles By Design Dentistry Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1932660792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 STATESVILLE BLVD STE C",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442287",
            "telephone_number": "704-637-6717",
            "fax_number": "704-637-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 STATESVILLE BLVD STE C",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442287",
            "telephone_number": "704-637-6717",
            "fax_number": "704-637-6717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1107 Statesville Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281442287",
            "country_code": "US",
            "telephone_number": "704-637-6717",
            "fax_number": "704-637-6717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. LISA F. DAVIS, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GUANAH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "704-637-6717",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306869664",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@smilesbydesign.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1107 Statesville Blvd Ste C",
            "city": "Salisbury",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281442287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Smiles By Design Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Lynn Donelson, R.D., L.D.N., PH.D.
• Karen J Dougherty, OT
• Jamie Tench Douthit, NP
• Desirae Downs, FNP
• Dr Patel & Patel Associates PLLC (DentalWorld)
• Dr. McClary & Associates III, P.a. (DentalWorks)
• Dr. Stacye J. Harborth,
• DRD Unlimited, LLC
• Karen Ann Drexler, LRT/CTRS
• Jennifer Driggers, PA

• General Practice Dentistry in Salisbury, NC
• Providers in Salisbury, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.