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Dr. James William Davis, DMD
Periodontist in Springfield, Illinois
NPI 1871816389

James William Davis is a Periodontist based in Springfield, IL and is specialized in Periodontics. James William Davis practices in Springfield, IL and has the professional credentials of DMD. The NPI Number for James William Davis is 1871816389 and holds a License No. 021.001294 (Illinois).

The current practice location address for James William Davis is 2025 W Iles Ave, Springfield, IL and can be reached out via phone at 217-787-6761 and via fax at 217-787-6611.

Location: 2025 W Iles Ave, Springfield, IL, 62704-4190
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871816389
Provider Name
James William Davis
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2025 W Iles Ave, Springfield, IL, 62704-4190
Phone Number
217-787-6761
Fax Number
217-787-6611
Provider Enumeration Date
03/11/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1649342999 01 IL CORPORATE NPI
institution
Provider Business Practice Location Address Details
Address
2025 W Iles Ave
City
Springfield
State
Illinois
Zip
62704-4190
Phone Number
217-787-6761
Fax Number
217-787-6611
person
Provider Business Mailing Address Details
Address
2025 W Iles Ave
City
Springfield
State
Illinois
Zip
62704-4190
Phone Number
217-787-6761
Fax Number
217-787-6611
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
021.001294 (Illinois)
Definition
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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