PAUL DOUGLAS DAVIS (NPI# 1114197514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114197514 |
| Entity Type | Individual |
| Full Name | PAUL DOUGLAS DAVIS |
| Credential | DDS |
| Practice Address |
213 N 5th St Petersburg IL 62675-1303 |
| Practice Telephone | 2176322077 |
| Mailing Telephone | 2176322077 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134441496 | Paul A. Davis | Social Worker | 3373 N Diamond Butte Way, Tucson, AZ 85745-7128 | 2010-02-26 |
| 1992940803 | Paul Frederic Davis | Dentist | 40217 North Shore Dr., Loon Lake, WA 99148-0765 | 2008-12-05 |
| 1922253251 | Paul Eugene Davis Jr. | Pathology | 10022 Pacific Ave, Franklin Park, IL 60131-1837 | 2008-12-01 |
| 1750435574 | Paul Kenneth Davis | Massage Therapist | 715 Yelm Avenue West, Suite # 5, Yelm, WA 98597 | 2007-01-22 |
| 1356416259 | Paul Davis | Dentist | Audrey Egle Drive, Shepherdstown, WV 25443 | 2006-11-24 |
| 1558456079 | Paul Eugene Davis | Chiropractor | 751 N. 20th St., Ozark, MO 65721 | 2006-10-03 |
| 1821197484 | Paul Duane Davis | Family Medicine | 2373 W Main St Ste 102, Salem, WV 26426-7515 | 2006-09-21 |
| 1558466631 | Paul Thomas Davis II | Dentist | 220 Cherokee Rd # A, Florence, SC 29501-5225 | 2006-09-14 |
| 1831102730 | Paul E Davis | Social Worker | 1260 Monroe St Nw Ste 15h, New Philadelphia, OH 44663-4147 | 2006-08-14 |
| 1053330795 | Paul J Davis | Chiropractor | 1203 E Vermont Ave, Anaheim, CA 92805-5622 | 2006-07-19 |
| Street Address |
213 N 5TH ST |
| City | PETERSBURG |
| State | IL |
| Zip Code | 62675-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619091238 | Donald Paul Hartman | Dentist | 213 N 5th St, Petersburg, IL 62675-1303 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962519405 | Porta Comm. Unit District 202 | Local Education Agency (LEA) | 17651 Bluejay Road, Petersburg, IL 62675 | 2006-08-23 |
| 1295704021 | Menard County Health Department | Home Health | 1120 N 4th, Suite A, Petersburg, IL 62675 | 2006-03-15 |
| 1720035611 | Menard Convalescent Center, Inc | Skilled Nursing Facility | 120 W Antle St, Petersburg, IL 62675-1035 | 2006-05-27 |
| 1003068776 | Menard Convalescent Center, Inc | Skilled Nursing Facility | 120 W Antle St, Petersburg, IL 62675-1035 | 2008-10-14 |
| 1528106812 | County of Menard | Public Health or Welfare | 1120 N 4th St, Suite A, Petersburg, IL 62675-1115 | 2007-02-01 |
| 1922478916 | Ashleigh Renee Smith | Private Vehicle | 703 N 7th St, Petersburg, IL 62675-1144 | 2015-10-02 |
| 1952872269 | Abbey Lynn Venturini | Social Worker | 323 W Rutledge St, Petersburg, IL 62675-1239 | 2018-12-12 |
| 1285936872 | Donald P. Hartman | Dentist | 213 N 5th, Petersburg, IL 62675-1303 | 2010-12-02 |
| 1114164498 | Michael Gensler | Chiropractor | 110 E. Sheridan Rd, Petersburg, IL 62675-1340 | 2009-01-08 |
| 1932317799 | Mary N Hollis | Registered Nurse | 715 W Jackson St, Petersburg, IL 62675-1436 | 2007-05-17 |
| Find all providers in zip 62675 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649652744 | Jilesh R Gandhi | Dentist | 3277 S Crater Rd Ste C, Petersburg, VA 23805-9285 | 2015-06-24 |
| 1932543345 | Petersburg Dental, Inc. | Dentist | 806 S. Nordic Dr., Petersburg, AK 99833-0469 | 2013-04-29 |
| 1366617904 | James Stephen Kimble | Dentist | 211 Virginia Ave, Petersburg, WV 26847-1715 | 2008-04-24 |
| 1184894404 | Dr. Eugene A. Richardson IIi | Dentist | 23 Shore St, Petersburg, VA 23803-5818 | 2008-03-03 |
| 1053507400 | William M Ballance Dds | Dentist | 1964 Wakefield Street, Petersburg, VA 23805 | 2007-09-19 |
| 1861614943 | Peoples Family Dental Care | Dentist | 1328 W Washington St, Petersburg, VA 23803 | 2007-05-02 |
| 1902905391 | Gregory Lee Dunigan | Dentist | 717 S 9th St # 296, Petersburg, IN 47567-1820 | 2006-09-21 |
| 1396842282 | Eugene Arthur Richardson IIi | Dentist | 23 Shore Street, Petersburg, VA 23803 | 2006-09-20 |
| 1942312426 | William Marshall Ballance | Dentist | 1964 Wakefield St, Petersburg, VA 23805 | 2006-08-31 |
| 1750352498 | Sheilandice Monique Brown | Dentist | 321c Poplar Dr, Petersburg, VA 23805-9306 | 2006-01-31 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 62675 |
Please comment or provide details below to improve the information on PAUL DOUGLAS 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.