Provider Demographics
NPI:1063514982
Name:DAVIS, SAM SPIKER (DDS)
Entity type:Individual
Prefix:DR
First Name:SAM
Middle Name:SPIKER
Last Name:DAVIS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 AUGUSTA DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-2261
Mailing Address - Country:US
Mailing Address - Phone:713-781-2800
Mailing Address - Fax:713-781-5641
Practice Address - Street 1:7575 SAN FELIPE ST
Practice Address - Street 2:SUITE 135
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-1711
Practice Address - Country:US
Practice Address - Phone:713-781-2800
Practice Address - Fax:713-783-2910
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice