person
Dr. Jack Allen Davidson III, DDS
Student in an Organized Health Care Education/Training Program in Baltimore, Maryland
NPI 1104560812

Jack Allen Davidson III is a Student in an Organized Health Care Education/Training Program based in Baltimore, MD. Jack Allen Davidson III practices in Baltimore, MD and has the professional credentials of DDS. The NPI Number for Jack Allen Davidson III is 1104560812 and holds a License No. (Maryland).

The current practice location address for Jack Allen Davidson III is 650 W Baltimore St Ste 1216, Baltimore, MD and can be reached out via phone at 410-706-3964 and via fax at 410-706-0891.

Location: 650 W Baltimore St Ste 1216, Baltimore, MD, 21201-1510
person
Provider Profile Details
NPI Number
1104560812
Provider Name
Jack Allen Davidson III
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
650 W Baltimore St Ste 1216, Baltimore, MD, 21201-1510
Phone Number
410-706-3964
Fax Number
410-706-0891
Provider Enumeration Date
04/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
650 W Baltimore St Ste 1216
City
State
Zip
21201-1510
Phone Number
410-706-3964
Fax Number
410-706-0891
person
Provider Business Mailing Address Details
Address
650 W Baltimore St Ste 1216
City
State
Zip
21201-1510
Phone Number
410-706-3964
Fax Number
410-706-0891
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
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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