Individual provider · Type 1 NPI

Alphonzo Lowell Davidson Iii, DDS

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1740023555 Active

Practice location

3223 N Broad St
Philadelphia, PA 19140-5007

Call (215) 707-5352 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XDSS044828 (PA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1740023555

Alphonzo Lowell Davidson Iii, DDS's National Provider Identifier is 1740023555, issued on Jun 18, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 15, 2024.