Individual provider · Type 1 NPI
Maynard Davenport, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Pinetop, AZ
Practice location
43 W White Mountain Blvd
Pinetop, AZ 85935-7060
Fax (928) 367-2084
Mailing address
PO Box 368
Pinetop, AZ 85935-0368
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | D1086 (AZ) |
Orthodontics and Dentofacial Orthopedics Dentistry: 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 related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
2 other providers at this address
About NPI 1700832458
Maynard Davenport, DDS's National Provider Identifier is 1700832458, issued on May 25, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Pinetop, AZ. The record was last updated on Oct 25, 2026.