Individual provider · Type 1 NPI
Ryan James Davis, DMD, MS
Periodontics · Peoria, IL
NPI number
1396916649
Active
Practice location
1717 W Candletree Dr Ste A
Peoria, IL 61614-1592
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 019.027.427 (IL) |
| Periodontics Primary | 1223P0300X | 021.002357 (IL) |
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.
Other periodontics providers in Peoria
About NPI 1396916649
Ryan James Davis, DMD, MS's National Provider Identifier is 1396916649, issued on Mar 14, 2008. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Peoria, IL. The record was last updated on Oct 17, 2012.