Active NPIIndividual providerSole proprietor

Dr. Michael Davidson, DMD

Dentist, General Practice in Montclair, New Jersey

NPI Number1083009203
Practice location
148 Central Ave Fl 1, Montclair, NJ 07042-3025
Fax
—
Last updated
February 5, 2022

Michael Davidson is a Dentist, General Practice based in Montclair, NJ. Michael Davidson practices in Montclair, NJ and has the professional credentials of DMD. The NPI Number for Michael Davidson is 1083009203 and holds a License No. 22DI02621700 (NJ). The current practice location address for Michael Davidson is 148 Central Ave Fl 1, Montclair, NJ 07042-3025 and can be reached out via phone at 973-744-9330.

Provider Profile Details

NPI Number
1083009203
Provider Name
Michael Davidson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
148 Central Ave Fl 1, Montclair, NJ 07042-3025
Phone Number
973-744-9330
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
April 3, 2015
Last Update Date
February 5, 2022
Certification Date
February 5, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
148 Central Ave Fl 1
Montclair, NJ 07042-3025
Zip
07042-3025
Phone Number
973-744-9330
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
148 Central Ave Fl 1
Montclair, NJ 07042-3025
City
Montclair
State
NJ
Zip
07042-3025
Phone Number
973-744-9330

License Information

License Number
22DI02621700
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dentist, General Practice providers near Montclair, NJ

View all Dentist, General Practice providers in Montclair →

Frequently Asked Questions

What is the NPI number of Dr. Michael Davidson, DMD?

The NPI number of Dr. Michael Davidson, DMD is 1083009203. It was assigned on April 3, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael Davidson, DMD?

Dr. Michael Davidson, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02621700.

Where does Dr. Michael Davidson, DMD practice?

The practice location is 148 Central Ave Fl 1, Montclair, NJ 07042-3025. The office can be reached at 973-744-9330 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083009203 directly on the NPPES registry website.

Browse related providers