Individual provider · Type 1 NPI

Megan Davenport, DDS

Pediatric Dentistry · Chicago, IL

NPI number 1962790428 Active

Practice location

1611 N. Wolcott Ave.
Chicago, IL 60622-1362

Call (312) 281-4860 Map

Mailing address

2668 N Halsted St Apt 202
Chicago, IL 60614-7683

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X019030175 (IL)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1962790428

Megan Davenport, DDS's National Provider Identifier is 1962790428, issued on Jul 19, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Chicago, IL. The record was last updated on Oct 28, 2015.