National Provider Identifier Database

KIRBY L DAVENPORT, DDS – NPI #1619912896
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

KIRBY L DAVENPORT, DDS
HIGHWAY 178 & 508 HILLCREST
BULL SHOALS, AR72619
Phone: 870-445-4040
Fax: 870-445-3216
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for KIRBY L DAVENPORT

NPI Number 1619912896
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/19/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • AR License #: 2230
  • AR Other: 58699 BLUE CROSS BLUE SHIELD
  • AR Other: 91028000040 QUAL CHOICE
  • AR Other: 108534 UNITED CONCORDIA
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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