Steven Lowell Davenport in Jackson - Pediatric Dentistry
Steven Lowell Davenport - NPI 1114045515
Steven Lowell Davenport is a Pediatric Dentistry in Jackson, Michigan. Steven Lowell Davenport practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Steven Lowell Davenport is 1114045515. The last update date is 2007-07-08.
Steven Lowell Davenport's current location address is 2500 Spring Arbor Road, Jackson, Michigan. You can contact this provider via phone number 5177871022 and fax number 5177872150. The mailing address for Steven Lowell Davenport is 2500 Spring Arbor Road, Jackson, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven Lowell Davenport |
|---|---|
| Address | 2500 Spring Arbor Road, Jackson, Michigan |
| Phone Number | 5177871022 |
| Fax Number | 5177872150 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1114045515 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2500 Spring Arbor Road |
|---|---|
| City | Jackson |
| State | Michigan (MI) |
| Post Code | 49203 |
| Phone Number | 5177871022 |
| Fax Number | 5177872150 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 2901017187 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Post Comment/ Review Below
What is the Steven Lowell Davenport's 1114045515?
The Steven Lowell Davenport's NPI (National Provider Identifier) Number is 1114045515. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Steven Lowell Davenport's facilities are geographically located?
The facilities of Steven Lowell Davenport are physically situated at the following location: 2500 Spring Arbor Road, Jackson, MI, 49203.
What is the Steven Lowell Davenport's specialty and taxonomy code?
The Steven Lowell Davenport's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date did Steven Lowell Davenport receive its 1114045515 assignment from the Centers for Medicare & Medicaid Services?
The Steven Lowell Davenport was assigned its 1114045515 on 2007-03-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Steven Lowell Davenport most recently updated or refreshed?
The details pertaining to the Steven Lowell Davenport, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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