Individual provider · Type 1 NPI

Jack Justin Davis, DDS

General Practice Dentistry · Rifle, CO

NPI number 1235242652 Active

About NPI 1235242652

Jack Justin Davis, DDS's National Provider Identifier is 1235242652, issued on Aug 17, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Rifle, CO. The record was last updated on Jul 8, 2007.