Individual
DR. JONATHAN DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
133 1/2 E MAIN AVE, ZEELAND, MI 49464-1735
(616) 772-7010
(616) 772-7275
Mailing address
133 1/2 E MAIN AVE, ZEELAND, MI 49464-1735
(616) 772-7010
(616) 772-7275
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901601062
MI
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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