JEREMIAH C DAVIS, DDS, MBA, PA (NPI# 1811497761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811497761 |
| Entity Type | Organization |
| Organization Name | JEREMIAH C DAVIS, DDS, MBA, PA |
| Other Organization Name | THE TEETH DOCTORS |
| Practice Address |
6402 Yadkin Rd Fayetteville NC 28303 |
| Mailing Address |
7151 Okelly Chapel Rd # 318 Cary NC 27519-6849 |
| Practice Telephone | 9108644646 |
| Mailing Telephone | 9108644646 |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | DR. JEREMIAH C DAVIS (OWNER) |
| Authorized Official Telephone | 9108644646 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
9774 | NC | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Teeth Doctors | Doing Business As Name - Organization |
| Street Address |
6402 YADKIN RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659490282 | David J Harsant Dds Pa | Dentist | 6402 Yadkin Rd, Fayetteville, NC 28303-2167 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437615408 | Dr Cameron and Associates Iv | Clinic/Center | 2301 Robeson St Ste 302, Fayetteville, NC 28305-5641 | 2019-02-14 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1306329867 | James E Rice, Dds Pa | Clinic/Center | 3622 Morganton Rd, Fayetteville, NC 28303-4967 | 2018-09-11 |
| 1346744232 | Wedington Dental, Pllc | Clinic/Center | 3500 Black Forest Drvie, Ste 1, Fayetteville, AR 72704 | 2018-03-23 |
| 1639568777 | Hollis L Jones Dds, Pllc | Clinic/Center | 1782 Metromedical Dr, Fayetteville, NC 28304-3861 | 2015-01-13 |
| 1366856262 | Dr Cameron and Associates IIi, Pllc | Clinic/Center | 300 Glensford Drive, Fayetteville, NC 28314 | 2014-06-18 |
| 1053618801 | B.g.harrison D.d.s. and Associates, P.a. | Clinic/Center | 1408 Skibo Rd., Fayetteville, NC 28303 | 2011-02-14 |
| 1104155506 | Patrice A. Barber, Dds & Associates, Pa | Clinic/Center | 5428 Yadkin Rd, Fayetteville, NC 28303-3199 | 2009-12-14 |
| 1508471046 | Fayetteville Smiles Dentistry | Clinic/Center | 6962 Highbridge Rd, Fayetteville, NY 13066-9705 | 2020-09-11 |
| 1295373322 | Sequoyah Dental, Pllc | Clinic/Center | 2827 E Millennium Pl Ste 3, Fayetteville, AR 72703-6528 | 2019-12-19 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
Please comment or provide details below to improve the information on JEREMIAH C DAVIS, DDS, MBA, PA.
| 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.