DR. RUSSELL MINOR DAVIS (NPI# 1801908496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801908496 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL MINOR DAVIS |
| Credential | D.M.D. |
| Practice Address |
2204 Sunrise Blvd Fort Pierce FL 34950-5367 |
| Practice Telephone | 7724644684 |
| Practice Fax Number | 7724652922 |
| Mailing Telephone | 7724644684 |
| Mailing Fax Number | 7724652922 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN0011240 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154745206 | Russell Davis | Pharmacist | Km 130.1 Cuatro C, Paseo Del Faro Pr, Arroyo, PR 00714 | 2014-02-10 |
| 1336344316 | Russell Allen Davis | Acupuncturist | 6135 Acorn St, San Diego, CA 92115-4006 | 2007-06-19 |
| 1285766410 | Russell Leroy Davis | Dentist | 950 I St, Arcata, CA 95521-6158 | 2007-03-12 |
| 1962562793 | Russell Eric Davis | Specialist | Physical Therapy Madigan Army Medical Ctr, Building 9040, Fitzsimmons Drive, Tacoma, WA 98431-0001 | 2006-12-11 |
| 1376644799 | Russell C Davis | Podiatrist | 2 Bon Air Rd Ste 150, Larkspur, CA 94939-1142 | 2006-09-26 |
| 1982607966 | Russell Kelso Davis | Chiropractor | 318 E. Main St., Havelock, NC 28532-2214 | 2005-05-24 |
| 1558976217 | Russell Davis | Case Manager/Care Coordinator | 10 West St, Concord, NH 03301-3548 | 2020-09-10 |
| 1619504214 | Russell Davis | Student in an Organized Health Care Education/Training Program | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2020-03-24 |
| 1821593203 | Russell Davis | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr, Mobile, AL 36617-2300 | 2018-03-27 |
| 1982148581 | Russell Davis | Nurse Practitioner | 1887 Aaron Dr Ste B, Tooele, UT 84074-8138 | 2016-12-15 |
| Street Address |
2204 SUNRISE BLVD |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34950-5367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659853018 | New Day Counseling & Wellness, LLC | Clinic/Center | 130 S Indian River Drive Suite 202, Fort Pierce, FL 34950 | 2018-09-03 |
| 1548749351 | Jaber's Pharmacy, Inc. | Pharmacy | 2210 Orange Ave, Fort Pierce, FL 34950 | 2018-08-13 |
| 1386139699 | Pas Substance Abuse, Inc. | Substance Abuse Rehabilitation Facility | 2017 Avenue D, Fort Pierce, FL 34950 | 2018-06-28 |
| 1629573134 | Southeastern Dme LLC | Durable Medical Equipment & Medical Supplies | 200 S Indian River Dr Ste 300, Fort Pierce, FL 34950 | 2018-03-27 |
| 1962903666 | Serenity Dme LLC | Durable Medical Equipment & Medical Supplies | 111 N 2nd St Ste 101, Fort Pierce, FL 34950 | 2018-02-27 |
| 1417463068 | Ryan Nippes | Counselor | 1302 N Lawnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1639685282 | Valencia Worrell | Counselor | 1302 N Lswnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1194173153 | Angel French | Massage Therapist | 101 North Us1, Suite 117, Fort Pierce, FL 34950 | 2016-06-01 |
| 1780052951 | Alison Hess | Physician Assistant | 1700 S. 23rd St, Fort Pierce, FL 34950 | 2015-09-04 |
| 1629329784 | Dr. Rhaina A Smeds, Psyd Inc. | Psychologist | 100 Ave A, Ste 2d, Ft. Pierce, FL 34950 | 2012-09-28 |
| Find all providers in zip 34950 | ||||
| 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 |
|---|---|---|---|---|
| 1912564162 | Professional Dental Alliance of Ft. Pierce, Pllc | Dentist | 4832 N Kings Hwy, Fort Pierce, FL 34951-2243 | 2019-05-23 |
| 1609352905 | Shapiro Family Dentistry of Fort Pierce Pa | Dentist | Coral Square Shoppes 3006 Us Highway 1, Suite D2/d3, Fort Pierce, FL 34982 | 2018-07-19 |
| 1073832176 | Itd Associates, P.a. | Dentist | 4832 N. Kings Highway, Fort Pierce, FL 34951 | 2010-05-28 |
| 1013176569 | John William Humphries | Dentist | 2505 S Federal Hwy # 1, Fort Pierce, FL 34982-5922 | 2008-06-09 |
| 1538355359 | Gina Denise Dean-bey | Dentist | 1900 Nebraska Ave Ste 6, Fort Pierce, FL 34950-4837 | 2007-09-16 |
| 1659580868 | William G Angelos | Dentist | 4846 N Kings Hwy, Fort Pierce, FL 34951-2243 | 2007-05-22 |
| 1194808360 | Robert D. Gehrig | Dentist | 1405 S 25th St, Suite B, Fort Pierce, FL 34947-4700 | 2006-10-23 |
| 1588766513 | Norman David Knowles | Dentist | 1511 S 25th St Ste B, Fort Pierce, FL 34947-4779 | 2006-09-01 |
| 1902836851 | James Lowell Strawn | Dentist | 5054 S 25th St, Fort Pierce, FL 34981-4923 | 2006-07-04 |
| 1932147063 | Emilio R Martinez | Dentist | 5110 Turnpike Feeder Rd, Fort Pierce, FL 34951-5020 | 2006-06-02 |
| Find all providers in FORT PIERCE | ||||
| City | FORT PIERCE |
| Zip Code | 34950 |
Please comment or provide details below to improve the information on DR. RUSSELL MINOR 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.