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Deactivated NPI 1851621619 Deactivated / Inactive NPI Male Practitioner

Dr. Leo Coleman Davis , DDS

Dentist • Jacksonville, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Leo Davis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 30, 2009
NPI Deactivation Date January 18, 2023
Total Practice Duration ~14 Years of Practice (2009 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Leo Davis, DDS was a registered Dentist practicing in Jacksonville, FL. Throughout an active medical career spanning 14 years, Dr. Davis provided care at the practice location at 4189 SOUTHPOINT DR E until profile deactivation on 2023-01-18.

Practice Location & Contact Primary Location

Practice Address

4189 Southpoint Dr E

Jacksonville, FL 322160996

Telephone 9042963383
Fax 9042963384
Associated Practice Facility / Clinic
🏢 Michael R. Moore Dds Pa Facility NPI 1528366077

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
295 Specialists

Practicing in Jacksonville, FL (6414 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL 5988

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1225506777

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 18, 2023

Record deactivated on January 18, 2023

NPI Profile Active December 30, 2009

NPI status registered as active in NPPES database

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Updated Practice Location December 30, 2009

Registered at 4189 SOUTHPOINT DR E, JACKSONVILLE, FL 322160996 (Tel: 9042963383)

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Updated Business Mailing Address December 30, 2009

Registered at 4189 SOUTHPOINT DR E, JACKSONVILLE, FL 322160996 (Tel: 9042963383)

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Provider Name / Credentials Updated December 30, 2009

Recorded as LEO DAVIS, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2009

Dentist (License #5988 in FL)

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Initial NPI Registration & Enumeration December 30, 2009

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: 1851621619
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 30, 2009
Last Update: December 30, 2009
Deactivation Date: January 18, 2023

Mailing Address

4189 Southpoint Dr E

Jacksonville, FL 322160996

Phone: 9042963383

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.