Provider Demographics
NPI:1316957954
Name:DAVIS, MONIKA MCJUNKIN (DDS)
Entity type:Individual
Prefix:DR
First Name:MONIKA
Middle Name:MCJUNKIN
Last Name:DAVIS
Suffix:
Gender:F
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:PO BOX 462
Mailing Address - Street 2:
Mailing Address - City:FERRIS
Mailing Address - State:TX
Mailing Address - Zip Code:75125-0462
Mailing Address - Country:US
Mailing Address - Phone:972-842-5707
Mailing Address - Fax:972-842-5324
Practice Address - Street 1:3001 KNOX ST
Practice Address - Street 2:SUITE 300
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-5584
Practice Address - Country:US
Practice Address - Phone:214-265-7771
Practice Address - Fax:214-219-1098
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX227391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice