DR. DALE JED DAVIS (NPI# 1205942364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205942364 |
Entity Type | Individual |
Full Name | DR. DALE JED DAVIS |
Credential | DDS |
Practice Address |
200 Northgate Dr Midland MI 48640-7344 |
Practice Telephone | 9896311334 |
Practice Fax Number | 9896310309 |
Mailing Telephone | 9896311334 |
Mailing Fax Number | 9896310309 |
Enumeration Date | 2006-08-22 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
2901016864 | MI | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659763597 | Dale Carroll Davis | Dentist | 3132 N. 7th St, Phoenix, AZ 85014 | 2015-03-02 |
1528291770 | Dale Davis | Case Manager/Care Coordinator | 132 Lower Ridge Rd, Conway, AR 72032-8518 | 2009-09-03 |
1952503005 | Dale Michael Davis | Registered Nurse | 10121 Pine Ave, Truckee, CA 96161-4835 | 2007-06-01 |
1962582627 | Dale Braxton Davis | Physician Assistant | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2006-10-17 |
1043300957 | Dale Davis | Nurse Anesthetist, Certified Registered | 201 E Grover St, Shelby, NC 28150-3917 | 2006-10-13 |
1184652505 | Dale L Davis | Anesthesiology | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2006-06-28 |
1700887445 | Dale G. Davis | Ophthalmology | 1097 S Le Jeune Rd, Coral Gables, FL 33134-2639 | 2005-08-03 |
Street Address |
200 NORTHGATE DR |
City | MIDLAND |
State | MI |
Zip Code | 48640-7344 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336782135 | Great Lakes Bay Orthodontics, Plc | Dentist | 200 Northgate Dr, Midland, MI 48640-7344 | 2019-10-24 |
1205384963 | Davis and Davis Orthodontics | Dentist | 200 Northgate Dr, Midland, MI 48640-7344 | 2016-09-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
Find all providers in zip 48640 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457899940 | Bonolo Blessed Odirile | Dentist | 2101 Midland Drive, #14, Midland, TX 79701 | 2017-02-06 |
1841683356 | Carson Riley Phillips | Dentist | 4425 W Wadley Ave Ste 100, Midland, TX 79707 | 2015-03-07 |
1932475530 | Lisa Miller Davis | Dentist | 200 Northgate Dr., Midland, MI 48640 | 2012-03-28 |
1780808774 | C. Robert Henry Jr. | Dentist | 4810 W Loop 250 N, Midland, TX 79707-3191 | 2007-04-12 |
1871693705 | Jennifer Angela Sullivan | Dentist | 3200 Andrews Hwy, Suite 400, Midland, TX 79701-3896 | 2006-09-22 |
1083621692 | Grant Eugene Giles | Dentist | 4214 Andrews Hwy Ste 307, Midland, TX 79703-4869 | 2006-08-03 |
1336782135 | Great Lakes Bay Orthodontics, Plc | Dentist | 200 Northgate Dr, Midland, MI 48640-7344 | 2019-10-24 |
1477034700 | Katie Lynn Snapp | Dentist | 1000 N Midkiff Rd, Midland, TX 79701-2101 | 2018-08-24 |
1831631274 | Beau Joplin Boren | Dentist | 4610 N Garfield St, Suite A-9, Midland, TX 79705-2663 | 2016-11-16 |
1205384963 | Davis and Davis Orthodontics | Dentist | 200 Northgate Dr, Midland, MI 48640-7344 | 2016-09-12 |
Find all providers in MIDLAND |
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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.