Dr Lowell Bruce Davis, DDS,MS - Medicare Dentist in Oakland, CA

Dr Lowell Bruce Davis, DDS,MS is a medicare enrolled "Dentist - Periodontics" provider in Oakland, California. His current practice location is 2844 Summit St Ste 202, Oakland, California. You can reach out to his office (for appointments etc.) via phone at (510) 834-3414.

Dr Lowell Bruce Davis is licensed to practice in California (license number 26049) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114032349.

Contact Information

Dr Lowell Bruce Davis, DDS,MS
2844 Summit St Ste 202,
Oakland, CA 94609-3642
(510) 834-3414
Not Available



Healthcare Provider's Profile

Full NameDr Lowell Bruce Davis
GenderMale
SpecialityDentist - Periodontics
Location2844 Summit St Ste 202, Oakland, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114032349
  • Provider Enumeration Date: 08/20/2006
  • Last Update Date: 10/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9436458585
  • Enrollment ID: I20160425001568

Medical Identifiers

Medical identifiers for Dr Lowell Bruce Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114032349NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0300XDentist - Periodontics 26049 (California)Primary
1223P0300XDentist - Periodontics 2226049 (California)Secondary

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. Dr Lowell Bruce Davis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Lowell Bruce Davis, DDS,MS
2844 Summit St Ste 202,
Oakland, CA 94609-3642

Ph: (510) 834-3414
Dr Lowell Bruce Davis, DDS,MS
2844 Summit St Ste 202,
Oakland, CA 94609-3642

Ph: (510) 834-3414

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› Verified 1 days ago


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