DR. PURNELL G DAVIS JR.


Address: 2220 Mountain Blvd, Suite 206a, Oakland, CA 94611-2958
Phone: 5105236321

DR. PURNELL G DAVIS JR. (NPI# 1679719520) 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) 1679719520
Entity Type Individual
Full Name DR. PURNELL G DAVIS JR.
Credential DDS.
Practice Address 2220 Mountain Blvd
Suite 206a
Oakland
CA 94611-2958
Practice Telephone 5105236321
Practice Fax Number 5105305915
Mailing Telephone 5105236321
Mailing Fax Number 5105305915
Enumeration Date 2008-12-24
Last Update Date 2012-01-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
27877 CA Dental Providers

Office Location

Street Address 2220 MOUNTAIN BLVD
SUITE 206A
City OAKLAND
State CA
Zip Code 94611-2958

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669477949 Paul M. Saxton Social Worker 2220 Mountain Blvd, Ste 240, Oakland, CA 94611-2905 2005-06-14
1013262906 Lara Weyland, Ph.d., Clinical Psychology, Inc. Psychologist 2220 Mountain Blvd, Suite 240, Oakland, CA 94611-2958 2012-07-17
1871811216 Arnold H. Brokstein Dentist 2220 Mountain Blvd, Suite 206, Oakland, CA 94611-2958 2010-05-10
1992948491 Brandon Lowry Brawner Counselor 2220 Mountain Blvd, Oakland, CA 94611 2009-04-13
1972775518 David A. Rovno M.d. Inc Psychiatry & Neurology 2220 Mountain Blvd, Suite 240, Oakland, CA 94611-2958 2008-03-24
1205007069 David A Rovno Psychiatry & Neurology 2220 Mountain Blvd, Suite 240, Oakland, CA 94611-2958 2008-03-19
1366575110 Paula Torly Psychologist 2220 Mountain Blvd, Suite 240, Oakland, CA 94611 2007-03-13
1679605968 Steven Bernard Herrmann Marriage & Family Therapist 2220 Mountain Blvd, #240, Oakland, CA 94611 2007-03-12
1669504601 Jurgen Braungardt Psychologist 2220 Mountain Blvd, Suite 240, Oakland, CA 94611-2905 2007-03-12
1801931241 Linda Kelly Social Worker 2220 Mountain Blvd, Suite 240, Oakland, CA 94611 2007-02-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063028454 Abduljabbar Alhammoud Student in an Organized Health Care Education/Training Program Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 2020-09-21
1184287435 Unfold Psychology: A. Heafey Practice Psychologist 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 2019-04-22
1700389699 Katie Herron Student in an Organized Health Care Education/Training Program 2535 Harrison St., Oakland, CA 94611 2018-03-16
1861923351 Hoiwan Cheung Student in an Organized Health Care Education/Training Program 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 2017-03-25
1104377126 Collin Chan Pharmacist 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 2016-10-14
1912457276 Madeline Marie Perket Registered Nurse 933 Kingston Ave, Piedmont, CA 94611 2016-10-11
1962959460 Healing Arts Chiropractic Chiropractor 187 40th Street Way, Oakland, CA 94611 2016-09-01
1033573829 Diana Murphy Counselor 629 Oakland, Oakland, CA 94611 2016-04-08
1437515483 Laura Northrup II Marriage & Family Therapist 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 2016-01-06
1558736835 Michael Joseph Scollard Dentist 42 Linda Ave., Oakland, CA 94611 2015-12-11
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386253383 Caroline Kim Dentist 1833 Brandon St, Oakland, CA 94611-4306 2020-07-24
1043879653 Lawrence Wong Dentist 3300 Webster St Ste 907, Oakland, CA 94609-3156 2019-06-07
1013480169 Cynthia L. Cox, D.d.s., Inc. Dentist 485 34th St Ste 210, Oakland, CA 94609-2823 2019-01-10
1275051575 Christopher Thomas D.d.s. Inc. Dentist 1716 Telegraph Ave, Oakland, CA 94612-2108 2017-09-07
1396273694 Homero A. Mak Dds, Inc Dentist 8105 Edgewater Dr Ste 122, Oakland, CA 94621-2019 2017-05-31
1174060800 Philip P Chan Dentist 1624 Franklin St Ste 910, Oakland, CA 94612-2824 2017-01-19
1780135442 Vincent Wong, Dds, A Professional Dental Corporation Dentist 3320 Webster St, Oakland, CA 94609-3105 2016-10-18
1558736835 Michael Joseph Scollard Dentist 42 Linda Ave., Oakland, CA 94611 2015-12-11
1154798866 Heather Hong Dinh Dentist 2007 E 17th St, Oakland, CA 94606-4603 2015-08-28
1396121828 Oakland Eco Dental Dentist 2838 Summit St, Oakland, CA 94609-3605 2015-08-06
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Competitor

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City OAKLAND
Zip Code 94611

Improve Information

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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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