Provider Demographics
NPI:1891969135
Name:DRS. DAVIS & NYCZEPIR LTD
Entity Type:Organization
Organization Name:DRS. DAVIS & NYCZEPIR LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:L
Authorized Official - Last Name:DAOULAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-414-0713
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:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty