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Zachery Tyler Davis
Pediatric Dentist in Fresno, California
NPI 1336641000

Zachery Tyler Davis is a Pediatric Dentist based in Clovis, CA and is specialized in Pediatric Dentistry. Zachery Tyler Davis practices in Fresno, CA. The NPI Number for Zachery Tyler Davis is 1336641000 and holds a License No. (California).

The current practice location address for Zachery Tyler Davis is 7525 N Cedar Ave Ste 105, Fresno, CA and can be reached out via phone at 559-439-6600.

Location: 7525 N Cedar Ave Ste 105, Fresno, CA, 93611-6995
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336641000
Provider Name
Zachery Tyler Davis
Credential
Provider Entity Type
Individual
Gender
Male
Address
7525 N Cedar Ave Ste 105, Fresno, CA, 93611-6995
Phone Number
559-439-6600
Fax Number
Provider Enumeration Date
03/08/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7525 N Cedar Ave Ste 105
City
Fresno
State
California
Zip
93720-2698
Phone Number
559-439-6600
Fax Number
person
Provider Business Mailing Address Details
Address
7525 N Cedar Ave Ste 105
City
Fresno
State
California
Zip
93720-2698
Phone Number
559-439-6600
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DDS105061 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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