Individual provider · Type 1 NPI

Michael Wayne Davis, DDS

General Practice Dentistry · Albuquerque, NM

NPI number 1164411682 Active

Practice location

4100 Hawkins St NE, Mira Consulting
Albuquerque, NM 87109-4548

Mailing address

12315 Tamarac Trl NE
Albuquerque, NM 87111-6210

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDD2044 (NM)

General Practice Dentistry: 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.

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About NPI 1164411682

Michael Wayne Davis, DDS's National Provider Identifier is 1164411682, issued on Oct 18, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 13, 2026.