Active NPIIndividual providerSole proprietor

Dr. Jon G Davis, DMD

Dentist, General Practice in Fairfield, Connecticut

NPI Number1922197359
Practice location
161 Sherman St, Fairfield, CT 06824-5823
Fax
203-259-0001
Last updated
July 8, 2007

Jon Gregory Davis is a Dentist, General Practice based in Fairfield, CT. Jon Gregory Davis practices in Fairfield, CT and has the professional credentials of DMD. The NPI Number for Jon Gregory Davis is 1922197359 and holds a License No. 5031 (CT). The current practice location address for Jon Gregory Davis is 161 Sherman St, Fairfield, CT 06824-5823 and can be reached out via phone at 203-259-5026 and via fax at 203-259-0001.

Provider Profile Details

NPI Number
1922197359
Provider Name
Jon Gregory Davis
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
161 Sherman St, Fairfield, CT 06824-5823
Phone Number
203-259-5026
Fax Number
203-259-0001
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
October 12, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
161 Sherman St
Fairfield, CT 06824-5823
Zip
06824-5823
Phone Number
203-259-5026
Fax Number
203-259-0001
Fairfield, CT 06824Get directions →

Provider Business Mailing Address Details

Address
161 Sherman St
Fairfield, CT 06824-5823
City
Fairfield
State
CT
Zip
06824-5823
Phone Number
203-259-5026
Fax Number
203-259-0001

License Information

License Number
5031
License State
CT
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

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. Jon G Davis, DMD?

The NPI number of Dr. Jon G Davis, DMD is 1922197359. It was assigned on October 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jon G Davis, DMD?

Dr. Jon G Davis, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 5031.

Where does Dr. Jon G Davis, DMD practice?

The practice location is 161 Sherman St, Fairfield, CT 06824-5823. The office can be reached at 203-259-5026 (phone) or 203-259-0001 (fax).

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 1922197359 directly on the NPPES registry website.

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