IndividualActive
Richard Davidson, D.M.D.,M.S.
NPI 1174732416 · Periodontics · Clayton, MO
Provider details
- NPI number
- 1174732416
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.M.D.,M.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 11304 (MO)
Specialties & taxonomies
Dental Providers
Practice location
950 Francis Pl
Suite 117
Clayton, MO 63105-2465
Phone: (314) 721-4860
Fax: (314) 721-4860
Approximate (ZIP-level) locationGet directions
Mailing address
35 Summerhill Ln
Chesterfield, MO 63017-8408
Registry dates
- Enumerated
- 2007-05-22
- Last updated
- 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.