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Search › Idaho › 122300000X

Greg Davis, D.D.S

NPI 1699960039 · on the registry since 2007 · sole proprietor

Practice

Address
467 S Rivershore Ln
Eagle, ID 83616
Phone
(208) 939-9235
Fax
(208) 939-9235
Organisation at this address
Idaho Innovative Dentistry, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-09-10

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 Idaho