Robert W Davis, D.D.S.
Individual provider Active NPI General Practice Dentistry · Slater, IA
NPI 1992837447 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992837447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 7313 (IA)
- Practice address
- 600 Linn St
Slater, IA 50244-9775 - Phone
- (515) 228-3553
- Fax
- (515) 228-3593
- NPI assigned
- Mar 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 7313 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ballard Dental Associates | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7313 | IA | Yes |
Addresses
Primary practice location
600 Linn St
Slater, IA 50244-9775
Mailing address
300 N Linn St
Slater, IA 50244-9733
Phone (515) 228-3497
Other providers in Slater, IA
All providers in Slater, IA · General Practice Dentistry in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.