Provider Demographics
NPI:1396843785
Name:DAVISON, RHONDA JO (DDS)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:JO
Last Name:DAVISON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5611 IVORY MIST LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-6691
Mailing Address - Country:US
Mailing Address - Phone:713-937-1423
Mailing Address - Fax:
Practice Address - Street 1:16125 CAIRNWAY DR
Practice Address - Street 2:SUITE # 108
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-3556
Practice Address - Country:US
Practice Address - Phone:281-859-9878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20401122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist