David R Davenport in Peachtree City - Periodontics

David R Davenport - NPI 1295869345

David R Davenport is a Periodontics in Peachtree City, Georgia. David R Davenport practices all healthcare services and medical treatments related to Periodontics. The NPI Number for David R Davenport is 1295869345. The last update date is 2012-10-02.

David R Davenport's current location address is 306 Stevens Entry, Peachtree City, Georgia. You can contact this provider via phone number 7704877734 and fax number 7704871783. The mailing address for David R Davenport is 306 Stevens Entry, Peachtree City, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name David R Davenport
Address 306 Stevens Entry, Peachtree City, Georgia
Phone Number 7704877734
Fax Number 7704871783
Sole Proprietor Y
Credentials DMD , MS

NPI Number Detail

NPI Number 1295869345
Provider Enumeration Date 2007-03-14
Last Updated Date 2012-10-02

Provider Mailing Address Detail

Address 306 Stevens Entry
City Peachtree City
State Georgia (GA)
Post Code 302691325
Phone Number 7704877734
Fax Number 7704871783

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No DN012088
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about David R Davenport

What is the unique provider identifier assigned to David R Davenport?

The David R Davenport has been issued the NPI (National Provider Identifier) 1295869345 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where David R Davenport is physically located?

The David R Davenport is situated at the following address: 306 Stevens Entry, Peachtree City, GA 302691325.

What is David R Davenport's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for David R Davenport is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.

On what date did the Centers for Medicare & Medicaid Services assign the 1295869345 to David R Davenport?

The Centers for Medicare & Medicaid Services assigned the 1295869345 to David R Davenport on 2007-03-14.

When was the information pertaining to David R Davenport most recently updated or revised?

The details related to David R Davenport, including its address, specialty, and other relevant information, were last updated or revised on 2012-10-02.

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