DR. WALTER RAY DAVIS JR. (NPI# 1639441876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639441876 |
| Entity Type | Individual |
| Full Name | DR. WALTER RAY DAVIS JR. |
| Credential | D.D.S., M.S.D. |
| Practice Address |
1270 Mcconnell Dr Ste B Decatur GA 30033-3507 |
| Practice Telephone | 4046362501 |
| Practice Fax Number | 4046362235 |
| Mailing Telephone | 4046362501 |
| Mailing Fax Number | 4046362235 |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
6206 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588299283 | Walter Davis | Community/Behavioral Health | 1380 Arbor Ave Se Apt 508, Warren, OH 44484-4448 | 2020-03-03 |
| 1487757977 | Walter Etchelles Davis | Specialist | 184 Virginia Street, Boone, NC 28607 | 2006-09-07 |
| 1376554642 | Walter E Davis | Dentist | 415 S York St, Muskogee, OK 74403-5955 | 2006-08-11 |
| 1306334487 | Walter Roy Davis | Physical Therapist | 406 S Main St, Winnsboro, TX 75494-3226 | 2018-04-25 |
| 1417202144 | Walter Eton Davis Jr. | Case Manager/Care Coordinator | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2012-07-18 |
| 1841506276 | Walter E Davis | Counselor | 4728 Oxford Ave, Philadelphia, PA 19124-5835 | 2010-08-23 |
| 1083768998 | Walter Pitts Davis | Marriage & Family Therapist | 4630 50th St, Suite 507, Lubbock, TX 79414-3521 | 2007-01-22 |
| 1285703801 | Walter S Davis | Physical Medicine & Rehabilitation | 1401 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | 2006-11-07 |
| 1154331023 | Walter Sellers Davis | Dentist | 1610 Canyon Blvd, Boulder, CO 80302-5407 | 2006-08-09 |
| 1457300717 | Walter Davis | Psychologist | 13301 N Meridian Ave, Bldg 100, Oklahoma City, OK 73120-9369 | 2006-05-06 |
| Street Address |
1270 MCCONNELL DR STE B |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-3507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750825 | Kate Lynn Kowalyshen | Occupational Therapist | 1270 Mcconnell Dr Ste B, Decatur, GA 30033-3507 | 2020-11-03 |
| 1609499037 | Andrea Florence Pollock | Speech-Language Pathologist | 1270 Mcconnell Dr Ste B, Decatur, GA 30033-3507 | 2020-05-20 |
| 1306479480 | Mallery Catherine Aiken | Physical Therapist | 1270 Mcconnell Dr Ste B, Decatur, GA 30033-3507 | 2020-02-18 |
| 1255963344 | Diana Shabat | Occupational Therapist | 1270 Mcconnell Dr Ste B, Decatur, GA 30033-3507 | 2020-02-07 |
| 1174167860 | Libby Kellar | Occupational Therapist | 1270 Mcconnell Dr Ste B, Decatur, GA 30033-3507 | 2019-11-05 |
| 1427606581 | Megan Winborn | Speech-Language Pathologist | 1270 Mcconnell Dr Ste B, Decatur, GA 30033-3507 | 2019-08-30 |
| 1598222747 | Taylor Rae Lindsay | Occupational Therapist | 1270 Mcconnell Dr Ste B, Decatur, GA 30033-3507 | 2019-02-25 |
| 1013412519 | Taylor M Rapaport | Occupational Therapist | 1270 Mcconnell Dr Ste B, Decatur, GA 30033-3507 | 2018-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639201700 | Harry Patrick Stanley | Dentist | 1304 14th Ave Se, Decatur, AL 35601-4315 | 2007-03-12 |
| 1760524086 | Ulpa Patel | Dentist | 2637 N Decatur Rd, Decatur, GA 30033-6103 | 2007-02-13 |
| 1083793533 | Joel Allen Hardin | Dentist | 2426 Danville Rd Sw, Suite Q, Decatur, AL 35603-4293 | 2006-11-03 |
| 1427011253 | Wayne R Miller | Dentist | 2855 Candler Rd, Suite 10, Decatur, GA 30034-1415 | 2006-04-11 |
| 1912549759 | James Franklin Campbell IIi | Dentist | 1815 Somerville Rd Se, Decatur, AL 35601-5015 | 2019-10-14 |
| 1952791006 | Jerger Pediatric Dentistry, PC | Dentist | 2101 N Main St, Decatur, IL 62526-4375 | 2015-01-28 |
| 1114057262 | Carolyn W Williams | Dentist | 5000 Snapfinger Woods Dr, Suite B-210, Decatur, GA 30035-4085 | 2007-03-07 |
| 1245323302 | Bret M Jerger | Dentist | 2101 N Main St, Decatur, IL 62526-4375 | 2006-10-02 |
| 1962412619 | Allen D Mccaghren | Dentist | 1823 Somerville Rd Se, Decatur, AL 35601-5015 | 2006-08-08 |
| 1932157690 | Rebecca Lynn Barkley | Dentist | 755 Commerce Dr, Ste 712, Decatur, GA 30030 | 2006-05-05 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.