Dr. Jordan Leigh Davis, DDS
Dentist, General Practice in Edgerton, WI. Individual provider (NPI-1).
NPI number1982124541
StatusActive
Last updated in NPPESDec 6, 2021
Details
- NPI
- 1982124541
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jordan Leigh Davis
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 26, 2017
- Certification date
- Dec 6, 2021
- Last updated
- Dec 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 1001620 | WI | Yes |
| 122300000X | Dentist | 1001620 | WI |
Practice location
225 W Fulton StEdgerton, WI 53534-1865
Phone 608-884-9448
Mailing address
621 N Page StStoughton, WI 53589-1432
Phone 608-436-1595
Other practice locations
1111 Suffolk Dr
Janesville, WI 53546-1608
Janesville, WI 53546-1608
Phone 608-752-6848
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