Provider Demographics
NPI:1578686796
Name:DAVIDIAN, EDWARD W JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:W
Last Name:DAVIDIAN
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:1101 PINEHURST DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-5662
Mailing Address - Country:US
Mailing Address - Phone:919-923-4108
Mailing Address - Fax:
Practice Address - Street 1:249 E NC HIGHWAY 54
Practice Address - Street 2:SUITE 300
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-7512
Practice Address - Country:US
Practice Address - Phone:919-354-6220
Practice Address - Fax:919-783-0371
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC72701223D0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0004XDental ProvidersDentistDentist Anesthesiologist