Mark V Davis DMD PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4549 Issued in FL

Legal business name

MARK V DAVIS DMD PLLC

Practice address

14010 Roosevelt Blvd Ste 704
Clearwater, FL 33762-3820

Phone

(727) 531-9363

NPI assigned

Aug 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mark Davis, DMDNPI 1235337080

Title

Officer

Phone

(727) 531-9363

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mark Vincent Davis, D.M.D.

  • General Practice Dentistry
  • Clearwater, FL
  • NPI 1235337080
  NPD (past) Authorized official

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1962751370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14010 ROOSEVELT BLVD STE 704",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623820",
            "telephone_number": "727-531-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14010 ROOSEVELT BLVD STE 704",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623820",
            "telephone_number": "727-531-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK V DAVIS DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "727-531-9363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "4549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony L Marcotte, DO
• Margolin MD PA
• Jerry Alan Margolin, M.D.
• Maria's Adult Day Care Center
• Mark a. Spencer, D.C., P.a.
• Kristina Markonios, APRN-BC
• Michael Markou, DO
• Jeffrey Marks, MD
• Sally M Marlowe, ARNP
• Cynthia Marqueen, MD

• General Practice Dentistry in Clearwater, FL
• Providers in Clearwater, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.