ANDREA L DAVIS (NPI# 1750438255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750438255 |
| Entity Type | Individual |
| Full Name | ANDREA L DAVIS |
| Credential | D.D.S. |
| Practice Address |
11505 Cinema Drive Suite 6 D'iberville MS 39540 |
| Practice Telephone | 2283969000 |
| Practice Fax Number | 2283969006 |
| Mailing Telephone | 2283969000 |
| Mailing Fax Number | 2283969006 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2012-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3349-05 | MS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 01524745 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174154488 | Andrea Marie Davis | Dental Assistant | 62 Area Naval Dental Clinic, Camp Pendleton, Apo, AA 92055 | 2020-01-27 |
| 1730537325 | Andrea Davis | Technician | 1152 Pinebrook Pkwy, Toledo, OH 43615-7003 | 2016-05-25 |
| 1982071130 | Andrea Davis | Counselor | 4303 Spring Oak Dr, San Antonio, TX 78219 | 2015-08-24 |
| 1578954574 | Andrea Christian Davis | Specialist/Technologist | 26 Conns Lake Rd Se, Lindale, GA 30147-1440 | 2015-02-11 |
| 1376831024 | Andrea Marie Davis | Social Worker | 1030 Mcconville Rd, 7, Lynchburg, VA 24502-4555 | 2011-07-15 |
| 1083937833 | Andrea Lynn Davis | Massage Therapist | 161 E Olympic Ct, Allyn, WA 98524-9734 | 2010-03-08 |
| 1891024147 | Andrea Robin Davis | Dietitian, Registered | 9405 66th Ave, Rego Park, NY 11374-4631 | 2009-12-16 |
| 1457545030 | Andrea Davis | Registered Nurse | 2500 Charlotte Ave., Nashville, TN 37209 | 2007-08-28 |
| 1538351507 | Andrea Davis | Speech-Language Pathologist | 907 E Stillwell Ave, De Queen, AR 71832-2584 | 2007-08-14 |
| 1710196449 | Andrea Marie Davis | Physical Therapist | 1909 N 14th Ave, Dodge City, KS 67801-2364 | 2007-05-21 |
| Street Address |
11505 CINEMA DRIVE SUITE 6 |
| City | D'IBERVILLE |
| State | MS |
| Zip Code | 39540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528347531 | Lindsey Rachelle Cuevas | Pharmacist | 10551 D'iberville Blvd, D'iberville, MS 39540 | 2011-08-08 |
| 1750308250 | South Mississippi Urgent Care | Clinic/Center | 3661 Sangani Blvd, Suite E, Dlberville, MS 39540 | 2006-07-17 |
| 1568948016 | Courtney Leigh Ponder | Nurse Practitioner | 11516 Lamey Bridge Rd Ste I, Diberville, MS 39540 | 2018-07-18 |
| 1134635360 | Southern Regional Chiropractic and Rehabilitation Center | Nurse Practitioner | 11505 Cinema Dr Ste 7, Diberville, MS 39540 | 2017-12-26 |
| 1487177481 | Walgreen Co | Pharmacy | 4031 Popps Ferry Rd Ste A, Diberville, MS 39540 | 2017-07-21 |
| 1891151817 | Total Renal Care Inc | Clinic/Center | 3200 Mallett Rd, Ste F, Diberville, MS 39540 | 2016-01-06 |
| 1679944763 | Katelyn Elizabeth Martin | Behavioral Analyst | 4061 Suzanne Dr, Diberville, MS 39540 | 2015-10-14 |
| 1467880922 | Carla Diane Diffenderfer | Nurse Practitioner | 11516 Lamey Bridge Rd Ste I, Diberville, MS 39540 | 2013-10-21 |
| 1982618369 | Becky F Hollibaugh | Family Medicine | 3920 Promenade Pkwy, Biloxi, MS 39540 | 2006-07-28 |
| 1962029629 | Jessica Jensen | Counselor | 356 Ginger Dr. #7385, D'iberville, MS 39540-0003 | 2020-06-29 |
| Find all providers in zip 39540 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706306 | Brenyatta Travis | Dentist | 28 Pass Rd Ste 300, Gulfport, MS 39507-3244 | 2020-10-07 |
| 1518564210 | Reagan Mcnerney | Dentist | 275 11th Ave Sw, Magee, MS 39111-3553 | 2020-10-06 |
| 1841817657 | Kimberly Nicole Lee | Dentist | 105 Broadmoor Dr, Madison, MS 39110-6651 | 2020-06-26 |
| 1255955340 | Terah Shelby | Dentist | 2139 Highway 471, Brandon, MS 39047-8748 | 2020-06-03 |
| 1275157463 | Anderson Reid Bensch | Dentist | 160 Cracker Barrell Dr, Batesville, MS 38606-3031 | 2020-06-03 |
| 1831713213 | Scarlett La'ree Johnson | Dentist | 155 Millhouse Dr, Madison, MS 39110-6964 | 2020-06-02 |
| 1649893363 | Prestige Dental Care | Dentist | 7138 S Siwell Road, Byram, MS 39272 | 2020-05-28 |
| 1831746338 | Gary Williams LLC | Dentist | 100 Marketplace Dr Ste B, Byram, MS 39272-8974 | 2019-08-20 |
| 1518528769 | Huey D Phillips Jr. | Dentist | 5204 Highway 51 N, Senatobia, MS 38668-1712 | 2019-06-27 |
| 1649839291 | Andrew Harris | Dentist | 4505 I-55 Frontage Rd. N, Jackson, MS 39206 | 2019-06-07 |
| Find all providers with the same taxonomy | ||||
| City | D'IBERVILLE |
| Zip Code | 39540 |
Please comment or provide details below to improve the information on ANDREA L DAVIS.
| 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.