DR. JOHN CHARLES DAVIS DDS NPI 1184931222

NPI Information

NPI: 1184931222
Provider Name: DR. JOHN CHARLES DAVIS, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
3001A 6TH ST
GREAT LAKES, IL
ZIP 60088
Phone: (847) 688-2755
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DR. John Charles Davis, DDS is a general practice dentist in Great Lakes, IL. 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. John Charles Davis, DDS NPI is 1184931222. 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:

3001A 6TH ST
GREAT LAKES, IL
ZIP 60088
Phone: (847) 688-2755
Fax: (847) 688-2546

The enumeration date for this NPI number is 9/10/2010 and was last updated on 5/29/2014.

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	390200000X	Student in an Organized Health Care Education/Training Program				No
2	1223G0001X	Dentist	General Practice	59937	CALIFORNIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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