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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336641000

Zachery Tyler Davis is a Student in an Organized Health Care Education/Training Program in Fresno, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

7525 N Cedar Ave Ste 105
Fresno, CA 93720-2698
Phone: (559) 439-6600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8110 Birmingham Way Bldg 28, San Diego, CA 92123-2758 — (619) 205-1950

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DDS105061 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1336641000
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 8, 2018
Last updated in NPPESJuly 31, 2020
Certification dateJuly 31, 2020

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