DR. KEENAN M DAVIS


Address: 317 Edwin Drive, Virginia Beach, VA 23462
Phone: 7574992100

DR. KEENAN M DAVIS (NPI# 1881714657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881714657
Entity Type Individual
Full Name DR. KEENAN M DAVIS
Credential DDS
Practice Address 317 Edwin Drive
Virginia Beach
VA 23462
Practice Telephone 7574992100
Practice Fax Number 7574992999
Mailing Telephone 7574992100
Mailing Fax Number 7574992999
Enumeration Date 2007-03-29
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0700X Dentist
Specialization: Prosthodontics
0401008797 VA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
ANTHEM 179331 01
TRICARE 01398710 01

Other Providers KEENAN DAVIS

NPI Name Taxonomy Address Enumeration
1578876561 Keenan Davis Rehabilitation Practitioner 370 Crenshaw Blvd Ste E100, Torrance, CA 90503-1728 2010-07-19

Office Location

Street Address 317 EDWIN DRIVE
City VIRGINIA BEACH
State VA
Zip Code 23462

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568561900 Partners In Dental Health LLC Dentist 317 Edwin Drive, Virginia Beach, VA 23462 2006-09-22
1720103948 Dean E Kent Dentist 317 Edwin Drive, Virginia Beach, VA 23462 2007-03-20

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NPI Name Taxonomy Address Enumeration
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1003475153 Keyuri S Shah Physical Therapist 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 2019-06-12
1629561329 Mary Katherine Pratt Physician Assistant 828 Healthy Way Ste 350, Virginia Beach, VA 23462 2018-06-07
1801387808 Matrixx Healthcare LLC Respite Care 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 2018-05-24
1518471671 Newtown Chiropractic Center Pllc Clinic/Center 5777 Princess Ann Road, Virginia Beach, VA 23462 2017-11-28
1528587995 Gary Lee Alexander II Counselor 870 N Newtown Road, Virginia Beach, VA 23462 2017-09-16
1801328810 Servitium Med Va, LLC Durable Medical Equipment & Medical Supplies 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 2017-03-29
1215476171 Johnnie Walter Cox IIi Emergency Medical Technician, Basic 5163 Cleveland Street, Virginia Beach, VA 23462 2017-02-13
1225570179 Holly Balsamo Occupational Therapy Assistant 5345 Marian Lane, Virginia Beach, VA 23462 2016-11-09
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Taxonomy Information

Taxonomy Code 1223P0700X
Grouping Dental Providers
Classification Dentist
Specialization Prosthodontics

Taxonomy Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093295149 Lux Dental Center Dentist 43761 Parkhurst Plz Ste 132, Ashburn, VA 20147-5470 2018-08-17
1710362447 Walter Emanuel Odisho Dentist 3040 Williams Dr Ste 201, Fairfax, VA 22031 2015-07-23
1417207986 Techkouhie Hamalian Dentist 1911 Fort Myer Dr, Arlington, VA 22209-1607 2012-09-12
1790061695 Marjan Salari Dentist 6960g Bradlick Shopping Ctr # G, Annandale, VA 22003-7227 2011-10-24
1740582832 Eun Hye Lee Dentist 1861 Explorer St, Reston, VA 20190-5665 2010-11-23
1184944217 Harshit A Aggarwal Dentist 7630 Little River Tpke Ste 115, Annandale, VA 22003-2610 2010-06-11
1538493275 Juan Eduardo Alvarez Dentist 21287 Southolme Way, Ashburn, VA 20147-6087 2009-09-29
1053543835 Thomas S Striano Dentist 250 S Whiting St, Suite 116, Alexandria, VA 22304-3656 2009-08-13
1811121114 Dr.s Sullivan, Kaihara & Watkins Dentist 6845 Elm St Ste 475, Mc Lean, VA 22101-6051 2009-05-14
1518108935 Brent Lee Rigby Dentist 129 University Blvd Ste B, Harrisonburg, VA 22801-3751 2009-03-14
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Competitor

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City VIRGINIA BEACH
Zip Code 23462

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Dataset Information

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.

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