DR. RANDALL L DAVIS NPI 1487781605

NPI Information

NPI: 1487781605
Provider Name: DR. RANDALL L DAVIS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
100 AMESBURY ST STE 203
LAWRENCE, MA
ZIP 01840
Phone: (978) 686-8500
Get Directions

DR. Randall L Davis is a general practice dentist in Lawrence, MA. 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. DR. Randall L Davis NPI is 1487781605. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 AMESBURY ST STE 203
LAWRENCE, MA
ZIP 01840-321
Phone: (978) 686-8500
Fax: (978) 686-4032

The enumeration date for this NPI number is 2/27/2007 and was last updated on 10/3/2016.

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
1	122300000X	Dentist		16356	MASSACHUSETTS	No
2	1223P0700X	Dentist	Prosthodontics	16356	MASSACHUSETTS	No
3	1223G0001X	Dentist	General Practice	16356	MASSACHUSETTS	Yes

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
1	0280178	MEDICAID	MASSACHUSETTS
2	30302397	MEDICARE ID-TYPE UNSPECIFIED	NEW HAMPSHIRE	HEALTY KIDZ

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: 4/28/2024

NPI Synchronization or Removal

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