IndividualActive
Jerry Davis, D.D.S.
NPI 1114003597 · General Practice Dentistry · Greenwood, IN
Jerry Davis, D.D.S. is a General Practice Dentistry provider in Greenwood, IN (NPI 1114003597).
Provider details
- NPI number
- 1114003597
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7595 (IN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
494 S Emerson Ave
Suite K
Greenwood, IN 46143-1912
Phone: (317) 882-2880
Fax: (317) 882-2544
Street-level locationGet directions
Mailing address
494 S Emerson Ave
Greenwood, IN 46143-1912
Registry dates
- Enumerated
- 2006-10-28
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jerry Davis's NPI number?
- Jerry Davis's National Provider Identifier (NPI) is 1114003597, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Davis's specialty?
- Jerry Davis is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jerry Davis located?
- Jerry Davis's practice location on file with NPPES is 494 S Emerson Ave, Greenwood, IN 46143-1912.
- What is Jerry Davis's phone number?
- The practice phone number listed in the NPPES registry for Jerry Davis is (317) 882-2880.
- Is Jerry Davis's NPI active?
- Yes — Jerry Davis's NPI (1114003597) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.