Brock Davidson, DDS - Dentist in Diamond Springs, CA

Brock Davidson, DDS is a Dentist based in Diamond Springs, California. Brock Davidson is licensed to practice in California (license number 103896) and his current practice location is 509 Main St, Diamond Springs, California. He can be reached at his office (for appointments etc.) via phone at (530) 621-1051.

NPI number for Brock Davidson is 1962055921 and his current mailing address is 509 Main St, Diamond Springs, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962055921.

Contact Information

Brock Davidson, DDS
509 Main St,
Diamond Springs, CA 95619-9105
(530) 621-1051
Not Available



Healthcare Provider's Profile

Full NameBrock Davidson
GenderMale
SpecialityDentist
Location509 Main St, Diamond Springs, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1962055921
  • Provider Enumeration Date: 07/18/2019
  • Last Update Date: 07/18/2019

Medical Identifiers

Medical identifiers for Brock Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962055921NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 103896 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brock Davidson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brock Davidson, DDS
509 Main St,
Diamond Springs, CA 95619-9105

Ph: (530) 621-1051
Brock Davidson, DDS
509 Main St,
Diamond Springs, CA 95619-9105

Ph: (530) 621-1051

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› Verified 8 days ago


Dentist in Diamond Springs, CA

Dr. Richard Wayne Henifin, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 493 Main St Ste C, Diamond Springs, CA 95619
Phone: 530-626-5810    Fax: 530-626-6560
Dr. Mitchell Allen Goodis, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 540 Pleasant Valley Rd, Ste 102, Diamond Springs, CA 95619
Phone: 530-344-0290    Fax: 530-344-0291

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