Provider Demographics
NPI:1790575983
Name:DAVIS CENTER FOR ADVANCED DENTISTRY
Entity type:Organization
Organization Name:DAVIS CENTER FOR ADVANCED DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EMPLOYEE/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:732-303-0900
Mailing Address - Street 1:30 PLAZA 9
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-3010
Mailing Address - Country:US
Mailing Address - Phone:732-303-0900
Mailing Address - Fax:732-303-8577
Practice Address - Street 1:30 PLAZA 9
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-3010
Practice Address - Country:US
Practice Address - Phone:732-303-0900
Practice Address - Fax:732-303-8577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist