Monica Annette Davenport in Shreveport - Dentist

Monica Annette Davenport - NPI 1740224435

Monica Annette Davenport is a Dentist in Shreveport, Louisiana. Monica Annette Davenport practices all healthcare services and medical treatments related to Dentist. The NPI Number for Monica Annette Davenport is 1740224435. The last update date is 2016-02-19.

Monica Annette Davenport's current location address is 1850 Martin Luther King Dr., Shreveport, Louisiana. You can contact this provider via phone number 3182260244 and fax number 3182260282. The mailing address for Monica Annette Davenport is 1850 Martin Luther King Dr., Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Monica Annette Davenport
Address 1850 Martin Luther King Dr., Shreveport, Louisiana
Phone Number 3182260244
Fax Number 3182260282
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1740224435
Provider Enumeration Date 2006-06-15
Last Updated Date 2016-02-19

Provider Mailing Address Detail

Address 1850 Martin Luther King Dr.
City Shreveport
State Louisiana (LA)
Post Code 711075020
Phone Number 3182260244
Fax Number 3182260282

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 5001
Definition:
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: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5001 LA --

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FAQs about Monica Annette Davenport

What is the Monica Annette Davenport's 1740224435?

The Monica Annette Davenport's NPI (National Provider Identifier) Number is 1740224435. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Monica Annette Davenport is physically located?

The Monica Annette Davenport is situated at the following address: 1850 Martin Luther King Dr., Shreveport, LA 711075020.

What is Monica Annette Davenport's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Monica Annette Davenport's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

On what date did the Monica Annette Davenport receive the assignment of its 1740224435 from the Centers for Medicare & Medicaid Services?

The Monica Annette Davenport was issued its 1740224435 by the Centers for Medicare & Medicaid Services on 2006-06-15.

When was the information regarding Monica Annette Davenport, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Monica Annette Davenport, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-02-19.

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