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Individual

DR. CARSON SCOTT DAVENPORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
10710 SIKES PL, SUITE 325, CHARLOTTE, NC 28277-8181
(704) 708-4201
(704) 708-5958
Mailing address
10710 SIKES PL, SUITE 325, CHARLOTTE, NC 28277-8181
(704) 708-4201
(704) 708-5958

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5281
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8992019
NC
Enumeration date
04/18/2007
Last updated
07/08/2007
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