ANDREA L DAVIS DDS PC NPI 1427327725

NPI Information

  • NPI: 1427327725
  • Provider Name: ANDREA L DAVIS DDS PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: DIVINE DENTISTRY
  • Address: 11505 CINEMA DR
    SUITE 6
    DIBERVILLE, MS
    ZIP 39540
  • Phone: (228) 396-9000

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NPI Details

ANDREA L DAVIS DDS PC is a general practice dentist in Diberville, MS. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ANDREA L DAVIS DDS PC NPI is 1427327725. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Divine Dentistry.

The provider's business location address is:

11505 CINEMA DR
SUITE 6
DIBERVILLE, MS
ZIP 39540-704
Phone: (228) 396-9000

The provider's authorized official is Andrea L Davis .
The authorized official title is Dentist/owner and has the following contact phone number (228) 863-4009.

The enumeration date for this NPI number is 12/16/2011 and was last updated on 5/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice334905MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101524745MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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