Organization · Type 2 NPI

Davidian, PLLC

Customized Equipment (DME) · Raleigh, NC

NPI number 1720553191 Active

Practice location

5904 Six Forks Rd Ste 207
Raleigh, NC 27609-8228

Specialties and licenses

Taxonomy	Code	License
Dentist	122300000X	None listed
Customized Equipment (DME) Primary	332BC3200X	None listed

Customized Equipment (DME): Definition to come...

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NPI record

NPI: 1720553191
Entity type: Organization (Type 2)
Issued: Oct 11, 2018
Last updated: Oct 11, 2018
Status: Active

Other names

<unavail>
Carolina Sleep Center · doing business as
Carolina TMJ & Facial Pain Center · doing business as

Authorized official

Dr. Tracy Davidian, DDS
Owner
(919) 301-8133

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1720553191

Davidian, PLLC's National Provider Identifier is 1720553191, issued on Oct 11, 2018. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Raleigh, NC. The record was last updated on Oct 11, 2018.