Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MAYNARD DAVENPORT, D.D.S.
ActiveDR. MAYNARD DAVENPORT, D.D.S. is a Orthodontics healthcare provider located in PINETOP, Arizona. NPI 1700832458 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · PINETOP, AZ
Registration Details
- NPI Number
- 1700832458
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2006 (20.252137828938 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D1086 (AZ)
Practice Information
- Address
-
43 W WHITE MOUNTAIN BLVDPINETOP, AZ, 859357060Browse AZ providers · Browse ZIP 85935
- Phone
- 9283673543
- Fax
- 9283672084
- Primary Specialty
-
Orthodontics
1223X0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.