Jeremiah C Davis, Dds, Mba, Pa | Fayetteville, NC • PECOS Search

Jeremiah C Davis, Dds, Mba, Pa

(The Teeth Doctors)

Clinic/Center

Ambulatory Health Care Facilities

6402 Yadkin Rd, Fayetteville, NC 28303

PECOS Enrollment

Based on the most recent information from CMS, provider Jeremiah C Davis, Dds, Mba, Pa does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1811497761
Provider Type
Organization
Full Name
Jeremiah C Davis, Dds, Mba, Pa
Other Name
The Teeth Doctors

Subpart
No
Enumeration Date
2/16/2018
Last Updated
10/29/2020

Contact Information

Practice Location

6402 Yadkin Rd, Fayetteville, NC 28303

Unlisted Fax

Mailing Location

7151 Okelly Chapel Rd # 318, Cary, NC 27519-6849

Unlisted Fax

Authorized Official

Davis, Jeremiah C (Owner)

Provider Taxonomies

Code	Description	License
Code 261QD0000X Primary	Description Clinic/Center Ambulatory Health Care Facilities	License 9774 North Carolina