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Myles Davidson, DDS

NPI 1134505399 · on the registry since 2015 · sole proprietor

Practice

Address
3510 N Ridge Rd Ste 500
Wichita, KS 67205
Phone
(316) 722-0800
Fax
(316) 722-5822
Organisation at this address
Custom Rx Inc
Richardsons Pharmacy
John D. Gagnon Dds Pa
Joseph R Tingey, Dds, Pa
Poggi Plastic Surgery, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Additional practice sites

  • 1201 N Stonewall Ave, Oklahoma City, OK
  • 10111 E 21st St N Ste 107, Wichita, KS

Registry record

Primary taxonomy
Oral & Maxillofacial Surgery (D.M.D.)
204E00000X
Also registered as
Dentist
Licence states on file
OK, KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-11-12
Status
Not present in the most recent federal file

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 Kansas