DR. GREG RON DAVIS (NPI# 1699960039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699960039 |
| Entity Type | Individual |
| Full Name | DR. GREG RON DAVIS |
| Credential | D.D.S |
| Practice Address |
467 S Rivershore Ln Eagle ID 83616-4978 |
| Practice Telephone | 2089399235 |
| Practice Fax Number | 2089399235 |
| Mailing Telephone | 2089399235 |
| Mailing Fax Number | 2089399235 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D-3175 | ID | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669983706 | Greg Keith Davis | Student in an Organized Health Care Education/Training Program | 1305 Eisenhower Dr, Augusta, GA 30904-5934 | 2017-10-16 |
| 1760536080 | Greg W Davis | Pharmacist | 2655 Mediros Ln, Clearlake, CA 95422-8179 | 2007-01-23 |
| 1336257435 | Greg C. Davis | Chiropractor | 2240 Mcculloch Blvd N, Ste C, Lake Havasu City, AZ 86403-6904 | 2006-08-28 |
| 1891832101 | Greg Davis | Counselor | 1420 Neal St, Suiteb 202, Cookeville, TN 38501-4333 | 2007-01-30 |
| 1619060167 | Greg J Davis | Internal Medicine | 2024 S 6th St, Brainerd, MN 56401-3054 | 2006-10-02 |
| 1679689145 | Greg E. Davis | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-08-21 |
| 1154359636 | Greg Davis | Dentist | 5321 Center St, Omaha, NE 68106-2338 | 2006-06-30 |
| Street Address |
467 S RIVERSHORE LN |
| City | EAGLE |
| State | ID |
| Zip Code | 83616-4978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639394554 | Lauren A Yun | Dentist | 467 S Rivershore Ln, Eagle, ID 83616-4978 | 2007-04-16 |
| 1649620139 | Idaho Innovative Dentistry, Pllc | Clinic/Center | 467 S Rivershore Ln, Eagle, ID 83616-4978 | 2016-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
| 1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
| Find all providers in zip 83616 | ||||
| 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 |
|---|---|---|---|---|
| 1649651464 | Andrea Dawn Brown | Dentist | 3209 W Bavaria St, Eagle, ID 83616-5171 | 2015-06-17 |
| 1225288129 | Chris C Beal | Dentist | 1185 Capitol St Ste 104, Eagle, CO 81631-5000 | 2008-09-26 |
| 1851552194 | Evan Hathaway Dds Pa | Dentist | 1217 E Iron Eagle Dr, Eagle, ID 83616 | 2008-06-19 |
| 1578766978 | Summer Marie Kassmel | Dentist | 56 Market Street, Suite 5, Eagle, CO 81631 | 2007-06-06 |
| 1659405116 | Melanie Marie Albers | Dentist | 56 Market St, Suite 5, Eagle, CO 81631 | 2007-03-15 |
| 1659431369 | Henry C Furst | Dentist | 632 S 4th St, Eagle, NE 68347-0102 | 2006-12-11 |
| 1588743876 | George Robert Phillips | Dentist | 207 Park Rd, Eagle, PA 19480 | 2006-11-06 |
| 1174631287 | Lighthouse Dental Group | Dentist | 1177 N Eagle Rd, Eagle, ID 83616 | 2006-08-28 |
| 1033455019 | Evan Hathaway | Dentist | 1217 E Iron Eagle Dr, Eagle, ID 83616-6599 | 2012-12-20 |
| 1609997675 | Image Dental Eagle LLC | Dentist | 56 Market St, Suite #5, Eagle, CO 81631 | 2007-04-03 |
| Find all providers in EAGLE | ||||
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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.