Maynard Davenport in Pinetop - Orthodontics And Dentofacial Orthopedics
Maynard Davenport - NPI 1700832458
Maynard Davenport is a Orthodontics And Dentofacial Orthopedics in Pinetop, Arizona. Maynard Davenport practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Maynard Davenport is 1700832458. The last update date is 2007-07-08.
Maynard Davenport's current location address is Po Box 368, Pinetop, Arizona. You can contact this provider via phone number 9283673543 and fax number 9283672084. The mailing address for Maynard Davenport is Po Box 368, Pinetop, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maynard Davenport |
|---|---|
| Address | Po Box 368, Pinetop, Arizona |
| Phone Number | 9283673543 |
| Fax Number | 9283672084 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1700832458 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 368 |
|---|---|
| City | Pinetop |
| State | Arizona (AZ) |
| Post Code | 859350368 |
| Phone Number | 9283673543 |
| Fax Number | 9283672084 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | D1086 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Maynard Davenport by the Centers for Medicare & Medicaid Services?
The Maynard Davenport has been issued the NPI (National Provider Identifier) 1700832458, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Maynard Davenport's facilities are geographically located?
The facilities of Maynard Davenport are physically situated at the following location: Po Box 368, Pinetop, AZ, 859350368.
What is the Maynard Davenport's area of specialization and corresponding taxonomy classification?
The Maynard Davenport's specialty field is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1700832458 to Maynard Davenport?
The Maynard Davenport received its 1700832458 assignment from the Centers for Medicare & Medicaid Services on 2006-05-25.
As of what date were the details related to Maynard Davenport most recently updated or revised?
The information pertaining to Maynard Davenport, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH