Individual
DR. WILLIAM L DAVENPORT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2240 COLISEUM DR, HAMPTON, VA 23666-5903
(757) 595-1457
Mailing address
3201 CHESAPEAKE AVE, HAMPTON, VA 23661-3440
(757) 722-9229
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401005717
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009509
DORAL DENTAL
VA
01
—
441659
ANTHEM
VA
01
—
584223
UNITED CONCORDIA
VA
05
—
8000174
—
VA
Enumeration date
11/29/2005
Last updated
07/08/2007
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