Individual
DR. DAVID R DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD , MS
Contact information
Practice address
306 STEVENS ENTRY, PEACHTREE CITY, GA 30269-1325
(770) 487-7734
(770) 487-1783
Mailing address
306 STEVENS ENTRY, PEACHTREE CITY, GA 30269-1325
(770) 487-7734
(770) 487-1783
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN012088
GA
Other
Enumeration date
03/14/2007
Last updated
10/02/2012
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