Provider Demographics
NPI:1164634457
Name:DAVIES, NANCY B (RDH)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:B
Last Name:DAVIES
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:679 NORTH PARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804
Mailing Address - Country:US
Mailing Address - Phone:740-749-1565
Mailing Address - Fax:
Practice Address - Street 1:1101 HEALTHWAY DR
Practice Address - Street 2:PENINSULA DENTAL CENTER
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804
Practice Address - Country:US
Practice Address - Phone:410-546-6105
Practice Address - Fax:410-546-5837
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1450124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist