NPI 1578726360 · live from the CMS NPI Registry
Glen S Davis, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Greer, SC. National Provider Identifier 1578726360, active.
NPI record
| NPI | 1578726360 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 150 Sage Creek Way, Greer, SC 29650 |
| Practice phone | 864-801-3500 |
| Enumerated | July 2, 2008 |
| Last updated | March 18, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 6958 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.