Kirby L Davenport in Bull Shoals - General Practice
Kirby L Davenport - NPI 1619912896
Kirby L Davenport is a General Practice in Bull Shoals, Arkansas. Kirby L Davenport practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kirby L Davenport is 1619912896. The last update date is 2007-07-08.
Kirby L Davenport's current location address is Po Box 717, Bull Shoals, Arkansas. You can contact this provider via phone number 8704454040 and fax number 8704453216. The mailing address for Kirby L Davenport is Po Box 717, Bull Shoals, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kirby L Davenport |
|---|---|
| Address | Po Box 717, Bull Shoals, Arkansas |
| Phone Number | 8704454040 |
| Fax Number | 8704453216 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1619912896 |
|---|---|
| Provider Enumeration Date | 2006-06-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 717 |
|---|---|
| City | Bull Shoals |
| State | Arkansas (AR) |
| Post Code | 726190717 |
| Phone Number | 8704454040 |
| Fax Number | 8704453216 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2230 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 108534 | AR | UNITED CONCORDIA | |
| 58699 | AR | BLUE CROSS BLUE SHIELD | |
| 91028000040 | AR | QUAL CHOICE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kirby L Davenport by the Centers for Medicare & Medicaid Services?
The Kirby L Davenport has been issued the NPI (National Provider Identifier) 1619912896, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kirby L Davenport's physical address?
The Kirby L Davenport is physically located at Po Box 717, in the city of Bull Shoals, AR, with the postal code 726190717.
What is Kirby L Davenport's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kirby L Davenport is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
When did the Kirby L Davenport receive its 1619912896?
The Kirby L Davenport was issued its 1619912896 on 2006-06-19, which is the date when the organization was assigned this unique identifier.
When was the information related to Kirby L Davenport most recently updated or refreshed?
The details pertaining to the Kirby L Davenport, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.