Provider Demographics
NPI:1114009545
Name:DAVIS, GEORGE E III (DDS)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:E
Last Name:DAVIS
Suffix:III
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 1:9015 FOREST HILL AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-3050
Mailing Address - Country:US
Mailing Address - Phone:804-272-7528
Mailing Address - Fax:804-320-7677
Practice Address - Street 1:9015 FOREST HILL AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-3050
Practice Address - Country:US
Practice Address - Phone:804-272-7528
Practice Address - Fax:804-320-7677
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010063661223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics