Provider Demographics
NPI:1073502597
Name:DAVIS, WILLIAM P (DDS)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:P
Last Name:DAVIS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 RURAL HILL RD
Mailing Address - Street 2:STE 4
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-3800
Mailing Address - Country:US
Mailing Address - Phone:615-399-3440
Mailing Address - Fax:615-399-2426
Practice Address - Street 1:325 RURAL HILL RD
Practice Address - Street 2:STE 4
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-3800
Practice Address - Country:US
Practice Address - Phone:615-399-3440
Practice Address - Fax:615-399-2426
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-18
Last Update Date:2013-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN68651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice