Provider Demographics
NPI:1841918414
Name:CAMIE G. DAVIS, D.D.S., P.C.
Entity type:Organization
Organization Name:CAMIE G. DAVIS, D.D.S., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CAMIE
Authorized Official - Middle Name:G
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:806-793-0651
Mailing Address - Street 1:3234 64TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79413-5761
Mailing Address - Country:US
Mailing Address - Phone:806-793-0651
Mailing Address - Fax:806-793-1338
Practice Address - Street 1:3234 64TH ST STE A
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79413-5761
Practice Address - Country:US
Practice Address - Phone:806-793-0651
Practice Address - Fax:806-793-1338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-18
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1447364856OtherNPPES
TX1669081097OtherNPPES