DR. JERRY ROBERT DAVIS D.D.S.
NPI 1114003597
Dentist - General Practice in Greenwood, IN

Active since October 28, 2006
494 S EMERSON AVE, SUITE K, GREENWOOD, IN 46143(317) 882-2880(317) 882-2544 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jerry Robert Davis D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY ROBERT DAVIS D.D.S. (NPI 1114003597) is an individual general practice provider in Greenwood, Indiana, licensed in Indiana (7595) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1114003597
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JERRY ROBERT DAVISCredential: D.D.S.
Location Address494 S EMERSON AVE, SUITE KGreenwood, IN 46143-1912
Mailing Address494 S Emerson Ave, Suite KGreenwood, IN 46143-1912 · (317) 882-2880 · Fax (317) 882-2544
Fax(317) 882-2544
Sole ProprietorYes
Enumeration DateOctober 28, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1114003597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IN · 7595
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
494 S EMERSON AVE, Greenwood, IN 46143

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

In Home Supportive Care
494 S EMERSON AVE, SUITE I-2
GREENWOOD, IN 46143
Counselor (Mental Health)
494 S EMERSON AVE, SUITE B
GREENWOOD, IN 46143
Counselor (Mental Health)
494 S EMERSON AVE, SUITE B
GREENWOOD, IN 46143
Psychologist (Counseling)
494 S EMERSON AVE, SUITE B
GREENWOOD, IN 46143
Psychologist (Clinical)
494 S EMERSON AVE, SUITE D
GREENWOOD, IN 46143
In Home Supportive Care
494 S EMERSON AVE
GREENWOOD, IN 46143
Psychologist
494 S EMERSON AVE, SUITE B
GREENWOOD, IN 46143
Dentist (General Practice)
494 S EMERSON AVE, SUITE K
GREENWOOD, IN 46143

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Davis's NPI number?

The NPI number for Jerry Davis is 1114003597. It was assigned to this individual provider in the NPPES registry on October 28, 2006.

Where is Jerry Davis located?

Jerry Davis practices at 494 S Emerson Ave Suite K, Greenwood, IN 46143. The listed phone number is (317) 882-2880.

What is Jerry Davis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jerry Davis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.