DR. LARRY DENNIS DAVIS SR. (NPI# 1265840896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265840896 |
| Entity Type | Individual |
| Full Name | DR. LARRY DENNIS DAVIS SR. |
| Practice Address |
1499 R W Moore Memorial Hwy Only TN 37140-4050 |
| Mailing Address |
1613 Glenridge Dr Nashville TN 37221-5303 |
| Practice Telephone | 9317295161 |
| Practice Fax Number | 9317291151 |
| Mailing Telephone | 6153644273 |
| Mailing Fax Number | 6152929056 |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2018-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 04552 | TN | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3979-18 | MS | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
8673 | SC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841717048 | Larry Davis | Counselor | 5306 Forest Park Ln, New Orleans, LA 70131-8582 | 2017-08-28 |
| 1396083390 | Larry E Davis Jr. | Licensed Practical Nurse | 4011 Glenwood Ave, Apt 1, Youngstown, OH 44512-1043 | 2013-01-25 |
| 1194932947 | Larry A Davis | Dentist | 209 S O Connor Rd, Irving, TX 75060-2950 | 2007-05-17 |
| 1598813131 | Larry Davis | Chiropractor | 3101 E Shea Blvd Ste 205, Ste 205, Phoenix, AZ 85028-3209 | 2007-01-08 |
| 1316025281 | Larry G Davis | Dentist | 370 W Main St, Ashdown, AR 71822-2750 | 2006-11-01 |
| 1467533182 | Larry Lee Davis | Optometrist | 6707 W Charleston Blvd, Suite 1b, Las Vegas, NV 89146-9240 | 2006-10-18 |
| 1649362146 | Larry T Davis | Chiropractor | 3012 Centre Oak Way, Suite 101, Germantown, TN 38138 | 2006-09-29 |
| 1992802813 | Larry Thomas Davis | Pharmacist | 1105 Madison Highway, Valdosta, GA 31601 | 2006-09-20 |
| 1922110774 | Larry Paul Davis | Pharmacist | 102 West Dickson Street, Suite 5, Fayetteville, AR 72701 | 2006-08-31 |
| 1174633564 | Larry Jon Davis | Optometrist | 7840 Natural Bridge, Patient Care Center, Saint Louis, MO 63121 | 2006-08-30 |
| Street Address |
1499 R W MOORE MEMORIAL HWY |
| City | ONLY |
| State | TN |
| Zip Code | 37140-4050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770703142 | Tim Jorgen Hansche | Physician Assistant | 1499 R W Moore Memorial Hwy, Clinic, Only, TN 37140-4050 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255837605 | Rachel Davis | Physician Assistant | 1499 R W Moore Memorial Rt Hwy, Only, TN 37140 | 2018-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255837605 | Rachel Davis | Physician Assistant | 1499 R W Moore Memorial Rt Hwy, Only, TN 37140 | 2018-04-04 |
| 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 |
|---|---|---|---|---|
| 1952909350 | Brandie White | Dentist | 2823 Hwy 31w South Ste 300, White House, TN 37188 | 2020-10-16 |
| 1497361596 | Crosstown Dental Group Highland Row LLC | Dentist | 431 S Highland St Ste 115, Memphis, TN 38111-1633 | 2020-09-23 |
| 1487268132 | Tennessee Dental Professionals, PC | Dentist | 3817 Bedford Ave Ste 110, Nashville, TN 37215-2534 | 2020-09-01 |
| 1467065326 | Kevin Melanio Corvacho | Dentist | 2854 N Main St Ste 102, Crossville, TN 38555-5413 | 2020-08-28 |
| 1063025336 | Vaughan Family Dentistry, PC | Dentist | 27001 Main St., Ardmore, TN 38449 | 2020-08-26 |
| 1356954838 | La Vergne Dental Associates, Pllc | Dentist | 6001 Jackson Square Blvd Ste 1001, La Vergne, TN 37086-2768 | 2020-08-25 |
| 1962014399 | Jordan Evans | Dentist | 4957 Swinyar Dr Ste 111, Ooltewah, TN 37363-2205 | 2020-08-18 |
| 1740890136 | Sarah Hartlerode | Dentist | 5915 N Watkins Rd, Millington, TN 38053-6936 | 2020-07-31 |
| 1942818661 | Shelby Victoria Nelson | Dentist | 1950 Downs Blvd Ste 101, Franklin, TN 37064-1561 | 2020-07-20 |
| 1922626019 | Randy Bagay | Dentist | 1350 Concourse Ave Ste 446, Memphis, TN 38104-2026 | 2020-07-06 |
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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.