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Individual

DR. WILLIAM L DAVENPORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

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
07/13/2026
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