NPI 1033589734 · live from the CMS NPI Registry
Davison Family Dentistry, P.C.
Dentist, General Practice in Davison, MI. National Provider Identifier 1033589734, active.
NPI record
| NPI | 1033589734 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 1058 N Irish Rd, Davison, MI 48423 |
| Practice phone | 810-653-4100 |
| Mailing address | 1090 Northchase Pkwy Se, Ste 150, Marietta, GA 30067 |
| Enumerated | October 7, 2015 |
| Last updated | October 7, 2015 |
| Authorized official | John Wiltz, President |
| Other names | Irish Road Dental |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Endodontics | 1223E0200X | — |
| Dentist | 122300000X | — |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | — |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — |
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.