DR. DUANE ALLEN DAVIS (NPI# 1912929191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912929191 |
| Entity Type | Individual |
| Full Name | DR. DUANE ALLEN DAVIS |
| Credential | D.M.D. |
| Practice Address |
1704 Jefferson Ave Mount Vernon IL 62864-4331 |
| Mailing Address |
12107 E Idlewood Dr Mount Vernon IL 62864-8415 |
| Practice Telephone | 6182442440 |
| Practice Fax Number | 6182440607 |
| Mailing Telephone | 6182420915 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659435386 | Duane S Davis | Physical Therapist | 1206 Health Science Center South, Morgantown, WV 26506 | 2006-12-20 |
| 1902261399 | Duane Davis | Counselor | 733 Hindry Ave, Inglewood, CA 90301-3030 | 2015-12-29 |
| 1508027327 | Duane Davis | Physical Therapist | 6440 Millrock Dr, Suite 175, Salt Lake City, UT 84121-5589 | 2008-06-24 |
| 1760458913 | Duane E. Davis | Internal Medicine | 100 N Academy Ave, Danville, PA 17822-1341 | 2006-02-27 |
| Street Address |
1704 JEFFERSON AVE |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-4331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518914340 | Bruce Wm. Thackrey | Dentist | 1704 Jefferson Ave, Mount Vernon, IL 62864-4331 | 2006-05-27 |
| 1265454508 | Michael R Hiner | Dentist | 1704 Jefferson Ave, Mount Vernon, IL 62864-4331 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| 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 |
|---|---|---|---|---|
| 1609437243 | Eric P Buck, Dds, Mt Vernon, LLC | Dentist | 809 Coshocton Ave Ste 300, Mount Vernon, OH 43050-1900 | 2019-06-25 |
| 1356820799 | Sumit Makker | Dentist | 120 S 15th St Ste A, Mount Vernon, WA 98274-4500 | 2018-08-07 |
| 1043768864 | Ahmed and Kang Ps | Dentist | 2120 Freeway Dr, Mount Vernon, WA 98273-5478 | 2016-09-21 |
| 1841643640 | Kari R. Mann | Dentist | 1229 Memorial Hwy # 53, Mount Vernon, WA 98273-3268 | 2016-07-15 |
| 1144672254 | Kirsten Karkow | Dentist | 801 Highway 30 W, Mount Vernon, IA 52314-9518 | 2016-07-13 |
| 1174905285 | Michael Wesley Neal | Dentist | 3 Doctors Park Rd, Mount Vernon, IL 62864-6200 | 2015-06-25 |
| 1841682549 | Roy D. Bower, Dmd, LLC | Dentist | 4201 Broadway St, Suite C, Mount Vernon, IL 62864-2282 | 2015-03-04 |
| 1760891618 | David N. Wells | Dentist | 803 East Fourth Street, Mount Vernon, IN 47620-0673 | 2014-08-05 |
| 1447596184 | Gary David Parson | Dentist | 5 N Gay St, Mount Vernon, OH 43050-3241 | 2012-12-28 |
| 1528340858 | Todd Thomas Cooley | Dentist | 2124 Riverside Dr Ste 108, Mount Vernon, WA 98273-5461 | 2011-09-13 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
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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.