DR. CHARLES A DAVIS (NPI# 1912095134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912095134 |
| Entity Type | Individual |
| Full Name | DR. CHARLES A DAVIS |
| Credential | D.D.S.M.S. |
| Practice Address |
716 N Country Club Rd Tucson AZ 85716-4506 |
| Practice Telephone | 5203268516 |
| Practice Fax Number | 5203261013 |
| Mailing Telephone | 5203268516 |
| Mailing Fax Number | 5203261013 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2013-12-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
1881 | AZ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | UNITED CONCORDIA NUMBER | 564721 | 01 |
| AZ | STATE AHCCCS NUMBER | 082868 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447726435 | Charles Wayne Davis | Pharmacist | 1900 Patterson St Ste 200, Nashville, TN 37203-2167 | 2018-10-17 |
| 1588073175 | Charles R. Davis Jr. | Home Health Aide | 436 E Carpenter Dr, New Carlisle, OH 45344-2529 | 2014-08-07 |
| 1841601739 | Charles Davis | Pharmacist | 4333 W. Pierson Rd. G, Flint, MI 48504 | 2014-05-13 |
| 1285055715 | Charles Andre Davis | Counselor | 1211 Putnam Ave, Brooklyn, NY 11221-4909 | 2013-12-31 |
| 1154669026 | Charles King Davis Jr. | Surgery | 755 Woodland Dr, Paducah, KY 42001-4677 | 2013-01-28 |
| 1417260936 | Charles A Davis Jr. | Dentist | 303 S Boulevard, Apt 10, Richmond, VA 23220-5769 | 2010-07-26 |
| 1417287160 | Charles F Davis | Physical Therapist | 232 Oleander Ave, Palm Beach, FL 33480-3807 | 2009-12-31 |
| 1548427818 | Charles M Davis Jr. | Pharmacist | 2530 Marilyn St, Pocatello, ID 83201-8022 | 2008-05-22 |
| 1174719033 | Charles Henry Davis | Orthotist | 4859 Shed Rd, Suite 200, Bossier City, LA 71111 | 2007-09-24 |
| 1831306349 | Charles Gentry Davis Jr. | Dentist | 331 De Baliviere Ave, Saint Louis, MO 63112-1803 | 2007-05-16 |
| Street Address |
716 N COUNTRY CLUB RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85716-4506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205217460 | Brittany Lauren Ko | Dentist | 716 N Country Club Rd, Tucson, AZ 85716-4506 | 2015-06-13 |
| 1750768651 | Lauren E Hobeich | Dentist | 716 N Country Club Rd, Tucson, AZ 85716-4506 | 2015-04-29 |
| 1700148004 | Charles A Davis Dds Ms PC | Dentist | 716 N Country Club Rd, Tucson, AZ 85716-4506 | 2012-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063065043 | Kristi Watson Mdpc | Clinic/Center | Hodges Eye Care and Surgical Location, 1502 N. Tucson Blvd, Tucson, AZ 85716 | 2019-07-19 |
| 1639731326 | Leigh-anne Andre | Social Worker | 1135 N. Jones Blvd, Tucson, AZ 85716 | 2019-07-02 |
| 1053802462 | Thomas Scott Mcvean | Technician, Pathology | 718 N Richey Blvd, Tucson, AZ 85716 | 2018-05-21 |
| 1063923787 | Intermountain Health Center, Inc. | Clinic/Center | 3815 E. Monte Vista, Apt. 1101, Tuscon, AZ 85716 | 2017-10-20 |
| 1992224729 | Rocio Fonseca | Counselor | 1014 N Country Club, Tucson, AZ 85716 | 2017-09-13 |
| 1548784473 | Adrian Linda Fait | Speech-Language Pathologist | Child & Family Resources, Inc., 2800 E. Broadway Blvd, Tucson, AZ 85716 | 2017-08-02 |
| 1447701867 | Katheryn Fredman | Counselor | 3830 E. Bellevue St., Tucson, AZ 85716 | 2016-10-20 |
| 1396114211 | Craig Stark | Internal Medicine | 2978 E Greenlee St, Tucson, AZ 85716 | 2015-09-21 |
| 1598142283 | Layla Carol Bradley | Nurse Practitioner | 3832 E. Speedway, Minute Clinic, Tucson, AZ 85716 | 2015-05-01 |
| 1134547813 | Maeve Shaughnessy | Counselor | 2921 E Fort Lowell Rd Ste 207, Tucson, AZ 85716 | 2014-03-31 |
| Find all providers in zip 85716 | ||||
| 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 |
|---|---|---|---|---|
| 1407395189 | Stratman Kids Dentistry | Dentist | 801 N Wilmot Rd Ste D2, Tucson, AZ 85711-1715 | 2017-02-15 |
| 1588051353 | Cheol M. Choi | Dentist | 9565 E 22nd St Ste 143, Tucson, AZ 85748 | 2015-04-20 |
| 1679828297 | Tucson Smiles Pediatric Dentistry As Swan | Dentist | 2810 N Swan Rd Ste 140, Tucson, AZ 85712-6300 | 2012-07-19 |
| 1326359225 | John Henry Mclin | Dentist | 9565 E 22nd St, Suite 143, Tucson, AZ 85748-7500 | 2010-06-24 |
| 1508190968 | Hishaw & Abramian Pllc | Dentist | 8255 S Houghton Rd, Suite 101, Tucson, AZ 85747-9721 | 2009-10-01 |
| 1659527653 | Northwest Children's Dentistry PC | Dentist | 7610 N La Cholla Blvd, Tucson, AZ 85741-4201 | 2008-08-11 |
| 1225242910 | Tucson Smiles Pediatric Dentistry At La Cholla, Pllc | Dentist | 5920 N La Cholla Blvd Ste 110, Tucson, AZ 85741-3693 | 2007-05-10 |
| 1568531002 | Angela M Wolfman | Dentist | 3953 E Paradise Falls Dr, Suite 110, Tucson, AZ 85712-6688 | 2006-11-07 |
| 1013012228 | Katherine Tudor Cotton | Dentist | 10036 N Blue Crossing Way, Tucson, AZ 85743-5211 | 2006-09-13 |
| 1700895216 | Laila Baharloo Hishaw | Dentist | 5920 N La Cholla Blvd, Ste 110, Tucson, AZ 85741-3590 | 2006-08-05 |
| Find all providers in TUCSON | ||||
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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.