Individual provider · Type 1 NPI
Michael J. Davis, DDS
Periodontics · Fort Worth, TX
NPI number
1821291014
Active
Practice location
1818 8th Avenue
Fort Worth, TX 76110
Fax (817) 920-0709
Mailing address
1818 8th Ave
Fort Worth, TX 76110-1391
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 13175 (TX) |
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 1821291014
Michael J. Davis, DDS's National Provider Identifier is 1821291014, issued on Jun 6, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Fort Worth, TX. The record was last updated on Jul 7, 2010.