DR. DAVID R DAVENPORT (NPI# 1295869345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295869345 |
| Entity Type | Individual |
| Full Name | DR. DAVID R DAVENPORT |
| Credential | DMD , MS |
| Practice Address |
306 Stevens Entry Peachtree City GA 30269-1325 |
| Practice Telephone | 7704877734 |
| Practice Fax Number | 7704871783 |
| Mailing Telephone | 7704877734 |
| Mailing Fax Number | 7704871783 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2012-10-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DN012088 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891879797 | David Franklin Davenport | Dentist | 604 S Tyler St, Covington, LA 70433-3346 | 2006-10-25 |
| 1063434991 | David Davenport | Physical Therapist | 7333 Chapman Hwy, Knoxville, TN 37920-6681 | 2006-07-23 |
| 1457357238 | David Davenport | Dentist | 2300 N Craycroft Rd, Ste 3, Tucson, AZ 85712-2808 | 2005-06-25 |
| 1740773969 | David Davenport | Occupational Therapist | 414 N Plant Ave, Plant City, FL 33563-7248 | 2018-06-12 |
| 1609952720 | David Andrew Davenport Sr. | Psychologist | 101 N Main St, Woodstown, NJ 08098-1225 | 2006-10-31 |
| 1518981539 | David Ross Davenport Jr. | Emergency Medicine | 1275 S State St, Dover, DE 19901-6927 | 2006-07-26 |
| 1790722700 | David A Davenport | Nurse Anesthetist, Certified Registered | 1034 Grove St, Meadville, PA 16335-2945 | 2006-05-31 |
| 1972572972 | David S Davenport | Internal Medicine | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2006-03-14 |
| 1174511919 | David Gregory Davenport | Radiology | 2751 Debarr Rd, Suite 390, Anchorage, AK 99508-2952 | 2005-10-06 |
| 1558353052 | David E Davenport | Radiology | 1204 N Vercler Rd, Ste 101, Spokane Valley, WA 99216-1020 | 2005-08-19 |
| Street Address |
306 STEVENS ENTRY |
| City | PEACHTREE CITY |
| State | GA |
| Zip Code | 30269-1325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841343316 | Peachtree Periodontics & Dental Implants | Dentist | 306 Stevens Entry, Peachtree City, GA 30269-1325 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992772 | Brian Voyles | Pharmacist | 130 Peachtree East Ct, Ste #4, Peachtree City, GA 30269 | 2020-08-13 |
| 1871133066 | Imani Scott | Physical Therapist | 1280 Hwy 74 S Ste 210, Peachtree City, GA 30269 | 2020-01-15 |
| 1477191898 | Sandra Jo Aletraris | Counselor | 105 Camp Creek Trail, Peachtree City, GA 30269 | 2019-12-16 |
| 1295372696 | Jovon Erika Caldwell Taylor | Nurse Practitioner | 125 Governors Square, Suite B, Peachtree City, GA 30269 | 2019-12-04 |
| 1376191106 | Ryan Goldfine Dpm LLC | Podiatrist | 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 | 2019-08-26 |
| 1740834092 | Shenitta Guyton | Psychologist | 619 Grecken Grn, Peachtree City, GA 30269 | 2019-07-25 |
| 1063971463 | Sarah Elizabeth Epps | Speech-Language Pathologist | 156 Peachtree East #149, Peachtree City, GA 30269 | 2019-03-15 |
| 1689139362 | Resiliency Behavioral Health Services LLC | Counselor | 145 Govenors Square, Ste A, Fayetteville, GA 30269 | 2019-02-06 |
| 1790256931 | Change of Life Companion Homecare LLC | Nurse Anesthetist, Certified Registered | 401 Topaz Trail, Peachtree City, Fayetteville, GA 30269 | 2018-12-16 |
| 1447753686 | Kelli M Shelton | Counselor | 145 A Governor's Sq., Peachtree City, GA 30269 | 2018-03-14 |
| Find all providers in zip 30269 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841343316 | Peachtree Periodontics & Dental Implants | Dentist | 306 Stevens Entry, Peachtree City, GA 30269-1325 | 2007-01-19 |
| 1861583338 | Dennis J. Perrott | Dentist | 211 Prime Pt, Suite B, Peachtree City, GA 30269-3334 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801420146 | Scott Hansen Lowry | Dentist | 1430 John Wesley Drive, Augusta, GA 30912-0001 | 2020-02-25 |
| 1780233981 | North Point Periodontics Center LLC | Dentist | 4205 N Point Pkwy Ste A, Alpharetta, GA 30022-8808 | 2019-09-10 |
| 1972012961 | Newnan Periodontics LLC | Dentist | 1635 Highway 34 E Ste A, Newnan, GA 30265-2173 | 2017-09-22 |
| 1871948695 | Kyle Garrett | Dentist | 2704 W Terrace Dr, Augusta, GA 30909-3622 | 2016-04-29 |
| 1346601291 | Titanium Dental | Dentist | 3796 Satellite Blvd Ste 101, Duluth, GA 30096-5698 | 2016-03-18 |
| 1073972584 | Kara Kramer | Dentist | 2970 Peachtree Rd Nw Ste 622, Atlanta, GA 30305-2115 | 2016-02-12 |
| 1922491356 | John H Eaton | Dentist | 1776 Old Spring House Ln Ste 301, Dunwoody, GA 30338-6225 | 2015-03-10 |
| 1679977656 | M Forest Butler Dds Ms PC | Dentist | 320 Killian Hill Rd Nw, Lilburn, GA 30047-3809 | 2014-10-20 |
| 1790196467 | Wranglehurst, P.C. | Dentist | 3850 Holcomb Br. Rd, Suite 230, Norcross, GA 30092 | 2014-05-15 |
| 1699104927 | Nisha Maniar Kancherla | Dentist | 300 W Wieuca Rd Ne Suite 100, Atlanta, GA 30342-9701 | 2013-11-07 |
| Find all providers with the same taxonomy | ||||
| City | PEACHTREE CITY |
| Zip Code | 30269 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.