Dr. Richard Duke Davis, DMD
Dentist, Periodontics in Idaho Falls, ID. Individual provider (NPI-1).
NPI number1316670698
StatusActive
Last updated in NPPESJul 30, 2025
Details
- NPI
- 1316670698
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard Duke Davis
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 5, 2022
- Certification date
- Jul 30, 2025
- Last updated
- Jul 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | 7571268 | ID | Yes |
| 1223P0300X | Dentist, Periodontics | 1703 | WY |
Practice location
1980 1st StIdaho Falls, ID 83401-4342
Phone 208-350-3897
Mailing address
1980 1st StIdaho Falls, ID 83401-4342
Phone 208-350-3897
Other practice locations
1130 S Hwy 89
Jackson, WY 83001-8512
Jackson, WY 83001-8512
Phone 208-350-3897
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