Provider Demographics
NPI:1346246006
Name:DAVIS, HARRY LEE III (DDS)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:LEE
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 1:2 E LEE RD
Mailing Address - Street 2:
Mailing Address - City:TAYLORS
Mailing Address - State:SC
Mailing Address - Zip Code:29687-3238
Mailing Address - Country:US
Mailing Address - Phone:864-292-2110
Mailing Address - Fax:
Practice Address - Street 1:2 E LEE RD
Practice Address - Street 2:
Practice Address - City:TAYLORS
Practice Address - State:SC
Practice Address - Zip Code:29687-3238
Practice Address - Country:US
Practice Address - Phone:864-292-2110
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC24921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice