Active NPIIndividual providerSole proprietor

Dr. Glen S Davis, DMD

Dentist, General Practice in Damariscotta, Maine

NPI Number1972722585
Practice location
16 Bristol Road, Damariscotta, ME 04543
Fax
207-563-7383
Last updated
July 8, 2007

Glen Sanford Davis is a Dentist, General Practice based in Damariscotta, ME. Glen Sanford Davis practices in Damariscotta, ME and has the professional credentials of DMD. The NPI Number for Glen Sanford Davis is 1972722585 and holds a License No. 3205 (ME). The current practice location address for Glen Sanford Davis is 16 Bristol Road, Damariscotta, ME 04543 and can be reached out via phone at 207-563-5203 and via fax at 207-563-7383.

Provider Profile Details

NPI Number
1972722585
Provider Name
Glen Sanford Davis
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
16 Bristol Road, Damariscotta, ME 04543
Phone Number
207-563-5203
Fax Number
207-563-7383
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
April 24, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Bristol Road
Damariscotta, ME 04543
State
Maine
Zip
04543
Phone Number
207-563-5203
Fax Number
207-563-7383
Damariscotta, ME 04543Get directions →

Provider Business Mailing Address Details

Address
16 Bristol Road
P.o. Box 387
Damariscotta, ME 04543
City
Damariscotta
State
ME
Zip
04543
Phone Number
207-563-5203
Fax Number
207-563-7383

License Information

License Number
3205
License State
ME
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. Glen S Davis, DMD?

The NPI number of Dr. Glen S Davis, DMD is 1972722585. It was assigned on April 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Glen S Davis, DMD?

Dr. Glen S Davis, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in ME under license number 3205.

Where does Dr. Glen S Davis, DMD practice?

The practice location is 16 Bristol Road, Damariscotta, ME 04543. The office can be reached at 207-563-5203 (phone) or 207-563-7383 (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 1972722585 directly on the NPPES registry website.

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