Individual
DR. JAMIE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6150 DIAMOND CENTRE CT # 300-2, FORT MYERS, FL 33912-4365
(239) 433-4746
(239) 433-5557
Mailing address
7049 MILL RUN CIR, NAPLES, FL 34109-7214
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16634
FL
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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