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BROCK DAVIDSON DDS
NPI 1962055921
Dentist in Diamond Springs, CA

Active since July 18, 2019
509 MAIN ST, DIAMOND SPRINGS, CA 95619(530) 621-1051 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brock Davidson Dds NPPES

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

BROCK DAVIDSON DDS (NPI 1962055921) is an individual dentist in Diamond Springs, California, licensed in California (103896) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1962055921
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameBROCK DAVIDSONCredential: DDS
Location Address509 MAIN STDiamond Springs, CA 95619-9105
Mailing Address509 Main StDiamond Springs, CA 95619-9105 · (530) 621-1051
Phone(530) 621-1051
Sole ProprietorNo
Enumeration DateJuly 18, 2019
✔ NPI 1962055921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 103896
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
509 MAIN ST, Diamond Springs, CA 95619
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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 Brock Davidson's NPI number?

The NPI number for Brock Davidson is 1962055921. It was assigned to this individual provider in the NPPES registry on July 18, 2019.

Where is Brock Davidson located?

Brock Davidson practices at 509 Main St, Diamond Springs, CA 95619. The listed phone number is (530) 621-1051.

What is Brock Davidson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Brock Davidson was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.