Active NPI 1447351614 Individual Practitioner Male Practitioner

Dr. Mark Leonard Davis , DDS

Dentist - General Practice • Fresno, CA

Professional Overview & Biography Verified Profile Summary

Dr. Mark Davis, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fresno, CA. Practice services are available at 6495 N. PALM AVE STE #105 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6495 N. Palm Ave Ste #105

Fresno, CA 93704

Telephone 5592773001

Fax 5592773031

Associated Practice Facility / Clinic

🏢 Denture & Implant Centers Of America Facility NPI 1598259459

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fresno, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.5 Yrs

State Avg: 21.7 Yrs

Regional Practice Density

276 Specialists

Practicing in Fresno, CA (18734 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: 2022-01-14

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 36075

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Tax Id

770204959 (CA)

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location January 14, 2022

Registered at 6495 N. PALM AVE STE #105, FRESNO, CA 93704 (Tel: 5592773001)

📍

Updated Business Mailing Address January 14, 2022

Registered at 6495 N. PALM AVE STE #105, FRESNO, CA 93704 (Tel: 5592773001)

👤

Provider Name / Credentials Updated January 14, 2022

Recorded as MARK DAVIS, DDS

📍

Updated Practice Location June 20, 2018

Registered at 345 TRINITY AVE, CHOWCHILLA, CA 936102860 (Tel: 5596653565)

📍

Updated Business Mailing Address June 20, 2018

Registered at 12605 APPALOOSA RD, MADERA, CA 936368354 (Tel: 5599788778)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1754 ROBERTSON BLVD, CHOWCHILLA, CA 936109016 (Tel: 5596653565)

📍

Updated Business Mailing Address July 08, 2007

Registered at 12605 APPALOOSA RD, MADERA, CA 936388354

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MARK DAVIS, D.D.S.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #36075 in CA)

🟢

Initial NPI Registration & Enumeration September 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447351614

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 26, 2006

Last Update: January 14, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6495 N. Palm Ave Ste #105

Fresno, CA 93704

Phone: 5592773001

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.