SearchColorado1223G0001X

Randall Davis, DDS

NPI 1134311137 · on the registry since 2007

Practice

Address
101 Pagosa St
Pagosa Springs, CO 81147
Phone
(970) 264-9436
Organisation at this address
San Juan Dental Hygiene Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-08-14

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 Colorado