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

Theodore Davis, DMD

Individual provider Dentist · NPI 1023097425

Theodore Davis, DMD is a Dentist in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

804 Clinton Ave Clinton Hill Dental Assoc
Newark, NJ 07108
Phone: (973) 374-5200
Fax: (973) 374-5609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2108128 (NJ)

Record details

NPI number1023097425
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJanuary 13, 2006
Last updated in NPPESJuly 13, 2026
Mailing address804 Clinton Ave, Newark, NJ 07108

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