Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174154488 Individual Practitioner Female Practitioner

Andrea Marie Davis

Dental Assistant • Apo, AA

Professional Overview & Biography Verified Profile Summary

Andrea Davis is a registered healthcare professional specializing in Dental Assistant in Apo, AA. Practice services are available at 62 AREA NAVAL DENTAL CLINIC under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

62 Area Naval Dental Clinic
Camp Pendleton

Apo, AA 92055

Telephone 7607632106

Specialty Benchmarks & Practice Insights

Comparative analytics for Dental Assistant in Apo, AA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Apo, AA (2 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-01-27
Dental Assistant Primary Specialty

NUCC Taxonomy Code: 126800000X

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Haley Heitzman , DO

General Practice

NPI 1154065613

Doctor of Osteopathic Medicine (D.O.)

Phong Tran , RDH

Dental Hygienist

NPI 1497385736

Registered Dental Hygienist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 27, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 27, 2020

Registered at 62 AREA NAVAL DENTAL CLINIC, CAMP PENDLETON, APO, AA 92055 (Tel: 7607632106)

📍
Updated Business Mailing Address January 27, 2020

Registered at 2505 RAYMELL DR, SAN DIEGO, CA 921233543 (Tel: 6195224210)

👤
Provider Name / Credentials Updated January 27, 2020

Recorded as ANDREA DAVIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2020

Dental Assistant

🟢
Initial NPI Registration & Enumeration January 27, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1174154488
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2020
Last Update: January 27, 2020
Sole Proprietor: Yes

Mailing Address

2505 Raymell Dr

San Diego, CA 921233543

Phone: 6195224210

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.