Provider Demographics
NPI:1356799647
Name:DAVIS, CLAUDIA NOELLE CARTER (DDS)
Entity type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:NOELLE CARTER
Last Name:DAVIS
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 1:30061 COLLEGE DR
Mailing Address - Street 2:
Mailing Address - City:WALKER
Mailing Address - State:LA
Mailing Address - Zip Code:70785-7321
Mailing Address - Country:US
Mailing Address - Phone:225-664-0210
Mailing Address - Fax:225-664-0185
Practice Address - Street 1:30061 COLLEGE DR
Practice Address - Street 2:
Practice Address - City:WALKER
Practice Address - State:LA
Practice Address - Zip Code:70785-7321
Practice Address - Country:US
Practice Address - Phone:225-664-0210
Practice Address - Fax:225-664-0185
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-27
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA66451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice