DR. MATTHEW DALE DAVENPORT (NPI# 1154735942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154735942 |
Entity Type | Individual |
Full Name | DR. MATTHEW DALE DAVENPORT |
Credential | D.D.S. |
Practice Address |
3402 E Del Mar Blvd Ste 260 Laredo TX 78041-6599 |
Mailing Address |
1310 Junction Dr Suite D Laredo TX 78041-6511 |
Practice Telephone | 9563245523 |
Mailing Telephone | 9567269980 |
Enumeration Date | 2014-06-19 |
Last Update Date | 2018-06-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
30131 | TX | Dental Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1310 Junction Dr, Suite D, Laredo, TX 780416511 | 9567269980 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114563673 | Matthew Stancil Davenport | Custodial Care Facility | 2318 N Nc Highway 58, Nashville, NC 27856-9007 | 2019-11-20 |
1003829094 | Matthew Davenport | Physical Therapist | 1661 Airport Rd Ste A, Hot Springs, AR 71913-8184 | 2006-08-14 |
1053831156 | Matthew Lester Davenport | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2017-06-21 |
1801215025 | Matthew Francis Davenport | Nurse Practitioner | 650 N Congress Ave, Boynton Beach, FL 33426 | 2014-04-15 |
1225158702 | Matthew Scott Davenport | Radiology | 1500 E Medical Center Dr, B1 Floor University Hospital Recp C, Ann Arbor, MI 48109-5030 | 2007-03-30 |
Street Address |
3402 E DEL MAR BLVD STE 260 |
City | LAREDO |
State | TX |
Zip Code | 78041-6599 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386258309 | Homero Javier Vela-gomez | Dentist | 3402 E Del Mar Blvd Ste 260, Laredo, TX 78041-6599 | 2020-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932769817 | Alejandra Alcaraz | Case Manager/Care Coordinator | 6548 Springfield Ave # 202, Laredo, TX 78041 | 2019-06-13 |
1003371238 | Karina A De Anda | Physical Therapy Assistant | 7109 N Bartlett Ave, Suite 109, Laredo, TX 78041 | 2019-02-01 |
1396200515 | Julissa Rebeca Vazquez | Physical Therapy Assistant | 7109 N Bartlett Ave., Suite 109, Laredo, TX 78041 | 2019-02-01 |
1982168720 | Alexander Garcia Madriaga | Physical Therapy Assistant | Regent Care Center, 7001 Mcpherson Avenue, Laredo, TX 78041 | 2019-01-25 |
1528538154 | Laredo Operator 2 Ltd. | Skilled Nursing Facility | 4301 North Bartlett Avenue, Laredo, TX 78041 | 2018-11-27 |
1639648488 | Lhkp Optometry Pllc | Optometrist | 5401 Mcpherson Rd Suite 10, Laredo, TX 78041 | 2018-11-21 |
1699244624 | Clear Choice Er, LLC | Clinic/Center | 7105 Bartlett Ave., Laredo, TX 78041 | 2018-11-20 |
1407337702 | Yvonne Denetre Cisneros | Speech-Language Pathologist | 1505 Calle Del Norte Ste 440-460, Laredo, TX 78041 | 2018-08-24 |
1811476765 | Christina Marie Dilley | Occupational Therapy Assistant | 4301 North Bartlett Ave., Laredo, TX 78041 | 2018-08-11 |
1023595386 | Motion Behavioral Health | Case Management | 6548 Springfield Ave Num 202, Laredo, TX 78041 | 2018-07-19 |
Find all providers in zip 78041 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | 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. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982228169 | Stephan A. Pope Dds, Pllc | Dentist | 4311 Clark Blvd Ste O, Laredo, TX 78043-4167 | 2020-06-03 |
1215560073 | Monica Perez | Dentist | 7307 Thomas Harris Dr, Laredo, TX 78041-2120 | 2020-02-19 |
1821507427 | Independence Planet Oral Healthcare, Pllc | Dentist | 2438 Monarch Dr Ste A-135, Laredo, TX 78045-6600 | 2017-09-26 |
1609391218 | Menta Dental | Dentist | 1211 E Del Mar Blvd Ste 3, Laredo, TX 78041-2406 | 2017-08-04 |
1851842900 | Carlos J. Romero D.d.s. and Assocaites P.l.l.c | Dentist | 3120 La Pita Mangana Road Suite #200, Laredo, TX 78046 | 2016-10-24 |
1578016663 | Arturo Molina Jr. | Dentist | 2439 Monarch Dr Unit 4, Laredo, TX 78045-6840 | 2016-07-26 |
1548611452 | Rodeo Laredo Dental & Orthodontics, Pllc | Dentist | 910 Guadalupe St Ste A, Laredo, TX 78040-5280 | 2016-06-22 |
1780049965 | Planet Oral Health Care Calton, Pllc | Dentist | 301 W. Calton Rd, Laredo, TX 78041-6339 | 2015-12-15 |
1043685837 | Samer Tabel P.C. | Dentist | 2420 Bob Bullock Loop Ste 18, Laredo, TX 78043-4490 | 2015-12-06 |
1285917161 | Castellano & Carpenter Dental Asociates, PC | Dentist | 7002 Mcpherson Rd Ste 104, Laredo, TX 78041-6442 | 2011-09-27 |
Find all providers in LAREDO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.