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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DANIELLA DAVIS

Active

DANIELLA DAVIS is a Orthodontics healthcare provider located in LAKE RONKONKOMA, New York. NPI 1508471665 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · LAKE RONKONKOMA, NY

Registration Details

NPI Number
1508471665
Provider Type
Individual
Gender
Female
NPI Issued
Sep 14, 2020 (5.9573070481391 yrs)
Last Updated
Sep 14, 2020
License
061059 (NY)

Practice Information

Address
500 PORTION RD STE 15
LAKE RONKONKOMA, NY, 117794587
Browse NY providers · Browse ZIP 11779
Phone
6315881199
Primary Specialty
Orthodontics
1223X0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.