Active NPIIndividual provider

Dr. Ken Davis, DMD

Dentist, General Practice in North Haledon, New Jersey

NPI Number1396837456
Practice location
33 Sicomac RD, North Haledon, NJ 07508-2971
Fax
—
Last updated
July 8, 2007

Ken Davis is a Dentist, General Practice based in North Haledon, NJ. Ken Davis practices in North Haledon, NJ and has the professional credentials of DMD. The NPI Number for Ken Davis is 1396837456 and holds a License No. 22di00804100 (NJ). The current practice location address for Ken Davis is 33 Sicomac RD, North Haledon, NJ 07508-2971 and can be reached out via phone at 973-427-0300.

Provider Profile Details

NPI Number
1396837456
Provider Name
Ken Davis
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
33 Sicomac RD, North Haledon, NJ 07508-2971
Phone Number
973-427-0300
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
September 28, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
33 Sicomac RD
North Haledon, NJ 07508-2971
Zip
07508-2971
Phone Number
973-427-0300
North Haledon, NJ 07508Get directions →

Provider Business Mailing Address Details

Address
321 Mendham RD
Bernardsville, NJ 07924-1212
City
Bernardsville
State
NJ
Zip
07924-1212

License Information

License Number (1)
22di00804100
License State (1)
NJ
Taxonomy (1)
Dentist, General Practice · 1223G0001X · Primary
License Number (2)
008041
License State (2)
NJ
Taxonomy (2)
Dentist, General Practice · 1223G0001X

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Dr. Ken Davis, DMD?

The NPI number of Dr. Ken Davis, DMD is 1396837456. It was assigned on September 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Ken Davis, DMD?

Dr. Ken Davis, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22di00804100.

Where does Dr. Ken Davis, DMD practice?

The practice location is 33 Sicomac RD, North Haledon, NJ 07508-2971. The office can be reached at 973-427-0300 (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 1396837456 directly on the NPPES registry website.

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