Davenport, David R

Davenport, David R is an sole proprietor health care provider with primary practice located at 306 Stevens Entry , Peachtree City GA 30269-1325. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Davenport, David R can be contacted via phone (770) 487-7734.

Contact Information

Primary practice address
306 Stevens Entry Peachtree City GA 30269-1325
Fax: (770) 487-1783
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DN012088 Georgia

Profile Details

NPI number 1295869345
LBN Legal business name Davenport, David R
Credentials DMD , MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
Last updated Oct 2nd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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