PHILIP DAVIS, DDS PA
NPI 1952998114
Dentist - General Practice in Pine Bluff, AR

Active since December 22, 2020
4100 W 28TH AVE, PINE BLUFF, AR 71603(870) 879-4870 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Philip Davis, Dds Pa NPPES

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

PHILIP DAVIS, DDS PA (NPI 1952998114) is a healthcare organization registered as a general practice in Pine Bluff, Arkansas and active in the NPI registry since December 2020. The organization lists Sara Burrow, Insurance Admin, as its authorized official.

NPPES Registry Identity

NPI1952998114
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePHILIP DAVIS, DDS PA
Location Address4100 W 28TH AVEPine Bluff, AR 71603-4726
Mailing Address4100 W 28th AvePine Bluff, AR 71603-4726 · (870) 879-4870
Organization SubpartNo
Authorized OfficialSara BurrowInsurance Admin · (501) 940-1530
Enumeration DateDecember 22, 2020
NPPES CertifiedDecember 22, 2020
NPI 1952998114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
4100 W 28TH AVE, Pine Bluff, AR 71603

Other Identifiers 1

Medicaid230610608AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Dentist
4100 W 28TH AVE
PINE BLUFF, AR 71603
Dentist (Oral and Maxillofacial Surgery)
4100 W 28TH AVE
PINE BLUFF, AR 71603
Dentist
4100 W 28TH AVE
PINE BLUFF, AR 71603
Preferred Provider Organization
4100 W 28TH AVE
PINE BLUFF, AR 71603

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 Philip Davis, Dds PA's NPI number?

The NPI number for Philip Davis, Dds PA is 1952998114. It was assigned to this organization in the NPPES registry on December 22, 2020.

Where is Philip Davis, Dds PA located?

Philip Davis, Dds PA is located at 4100 W 28th Ave, Pine Bluff, AR 71603. The listed phone number is (870) 879-4870.

What is Philip Davis, Dds PA'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 Philip Davis, Dds PA was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.