Individual provider · Type 1 NPI
Richard Davidson, DMD, M.S.
Periodontics · Clayton, MO
NPI number
1174732416
Active
Practice location
950 Francis Pl, Suite 117
Clayton, MO 63105-2465
Fax (314) 721-4860
Mailing address
35 Summerhill Ln
Chesterfield, MO 63017-8408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 11304 (MO) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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About NPI 1174732416
Richard Davidson, DMD, M.S.'s National Provider Identifier is 1174732416, issued on May 22, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Clayton, MO. The record was last updated on Jul 8, 2007.