SearchIllinois122300000X

Paul Davis, DDS

NPI 1114197514 · on the registry since 2008 · sole proprietor

Practice

Address
213 N 5th St
Petersburg, IL 62675
Phone
(217) 632-2077
Clinicians at this address
2

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-03-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois