Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEREMY BLAZE DAVIDSON, D.D.S.
Active Sole ProprietorDR. JEREMY BLAZE DAVIDSON, D.D.S. is a Orthodontics healthcare provider located in VIRGINIA BEACH, Virginia. NPI 1811981954 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · VIRGINIA BEACH, VA
Registration Details
- NPI Number
- 1811981954
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 6, 2005 (20.903434672407 yrs)
- Last Updated
- Apr 25, 2019
- License
-
0401412449 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
401 N GREAT NECK RD STE 122VIRGINIA BEACH, VA, 234544063Browse VA providers · Browse ZIP 23454
- Phone
- 7579622499
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in VIRGINIA BEACH, VA
| Name | Credential | NPI |
|---|---|---|
| LOUIS J MARCONYAK | DMD | 1073552386 |
| HOWARD STANLEY DORFMAN | DMD | 1336235761 |
| JOHN OTTIS ASHBY JR. | DDS MS | 1508952946 |
| R GLENN OWENS JR. | DDS | 1871689216 |
| DR. TAREK OSMAN ZAKI | D.D.S. | 1841366614 |
| DR. LAWRENCE A. KLAR | D.D.S. | 1134285299 |
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.