KIM S DAVISON DDS
NPI 1306044177
Dentist - General Practice in Bolivar, MO

Q: What is Kim Davison's NPI number?

The NPI number for Kim Davison is 1306044177. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Q: What is Kim Davison's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kim Davison 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.

Active since July 03, 2007

1300 N OAKLAND AVE, STE C, BOLIVAR, MO 65613(417) 326-2244(417) 326-8013 Get Directions Write a Review

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

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About Kim S Davison Dds NPPES

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

KIM S DAVISON DDS (NPI 1306044177) is an individual general practice provider in Bolivar, Missouri, licensed in Missouri (011222) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1306044177

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameKIM S DAVISONCredential: DDS

Location Address1300 N OAKLAND AVE, STE CBolivar, MO 65613

Mailing Address1300 N Oakland Ave, Ste CBolivar, MO 65613 · (417) 326-2244 · Fax (417) 326-8013

Phone(417) 326-2244

Fax(417) 326-8013

Sole ProprietorNo

Enumeration DateJuly 3, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1306044177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MO · 011222

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.

1300 N OAKLAND AVE, Bolivar, MO 65613

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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.

DR. DONALD R. JUMP DDS INC PC

Dentist (General Practice)

1300 N OAKLAND AVE, STE C
BOLIVAR, MO 65613

Polk County (417) 326-2244

KAYLEE JAYNELLE ANKROM

Nurse Practitioner (Family)

1300 N OAKLAND AVE
BOLIVAR, MO 65613

Polk County (417) 326-7676

DONALD R JUMP DDS

Dentist (General Practice)

1300 N OAKLAND AVE, STE C
BOLIVAR, MO 65613

Polk County (417) 326-2244

RACHEL GRAINGER LCSW

Social Worker (Clinical)

1300 N OAKLAND AVE
BOLIVAR, MO 65613

Polk County (417) 326-7676

MR. STEVEN T. MARSHALL D.D.S

Dentist (General Practice)

1300 N OAKLAND AVE, SUITE B
BOLIVAR, MO 65613

Polk County (417) 326-6061

STEPHEN N FINZO JR. PSYD

Psychologist

1300 N OAKLAND AVE
BOLIVAR, MO 65613

Polk County (417) 326-7676

PARKVIEW SURGEONS, PC

Surgery

1300 N OAKLAND AVE
BOLIVAR, MO 65613

Polk County (417) 326-2100

DR. TIMOTHY R JUMP DDS

Dentist (General Practice)

1300 N OAKLAND AVE, STE C
BOLIVAR, MO 65613

Polk County (417) 326-2244

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 Kim Davison's NPI number?

The NPI number for Kim Davison is 1306044177. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is Kim Davison located?

Kim Davison practices at 1300 N Oakland Ave Ste C, Bolivar, MO 65613. The listed phone number is (417) 326-2244.

What is Kim Davison'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 Kim Davison 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.