Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Davis DO, DDS

Individual provider Dental Assistant · NPI 1356639876

Dr. Davis DO, DDS is a Dental Assistant in San Diego, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4110 W Point Loma Blvd
San Diego, CA 92110-5603
Phone: (619) 701-6622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 101970 (CA)
Dental Assistant Taxonomy 126800000X

Record details

NPI number1356639876
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 18, 2011
Last updated in NPPESMarch 24, 2023
Certification dateMarch 24, 2023

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