Individual provider · Type 1 NPI
Kirby L. Davenport, DDS
General Practice Dentistry · Bull Shoals, AR
NPI number
1619912896
Active
Practice location
Highway 178 & 508 Hillcrest
Bull Shoals, AR 72619
Fax (870) 445-3216
Mailing address
PO Box 717
Bull Shoals, AR 72619-0717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 2230 (AR) |
General Practice Dentistry: 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.
About NPI 1619912896
Kirby L. Davenport, DDS's National Provider Identifier is 1619912896, issued on Jun 19, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bull Shoals, AR. The record was last updated on Jul 8, 2007.