DAVENPORT DENTAL, LLC (NPI# 1407243173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407243173 |
| Entity Type | Organization |
| Organization Name | DAVENPORT DENTAL, LLC |
| Other Organization Name | MARKHAM STREET DENTAL |
| Practice Address |
10220 W Markham St Ste 101 Little Rock AR 72205-2189 |
| Practice Telephone | 5016667623 |
| Practice Fax Number | 5016663410 |
| Mailing Telephone | 5016667623 |
| Mailing Fax Number | 5016663410 |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |
| Authorized Official Name | DR. JAMES M DAVENPORT (DENTIST/OWNER) |
| Authorized Official Telephone | 5016667623 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3842 | AR | Dental Providers |
| Other Name | Type Code |
|---|---|
| Markham Street Dental | Doing Business As Name - Organization |
| Street Address |
10220 W MARKHAM ST STE 101 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-2189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851334023 | Leslie Purifoy Cooner | Dentist | 10220 W Markham St, Little Rock, AR 72205-2189 | 2006-06-14 |
| 1437414166 | Markham Street Dental | Dentist | 10220 W Markham St, Suite 101, Little Rock, AR 72205-2189 | 2012-07-09 |
| 1891073557 | James Michael Davenport | Dentist | 10220 W Markham St, Suite 101, Little Rock, AR 72205-2189 | 2011-07-29 |
| 1346497492 | Leslie P Cooner Dds Pa | Clinic/Center | 10220 W Markham St, Suite 120, Little Rock, AR 72205-2189 | 2008-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| 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 |
|---|---|---|---|---|
| 1093332728 | Michael Drake | Dentist | 9601 Baptist Health Dr Ste 104, Little Rock, AR 72205-6323 | 2020-06-29 |
| 1821567389 | Cantrell Dental | Dentist | 14923 Cantrell Rd, Little Rock, AR 72223-4255 | 2018-11-14 |
| 1992291918 | Darryl K Ragland Dds Pa | Dentist | 11414 W Markham St Ste A, Little Rock, AR 72211-2847 | 2018-07-02 |
| 1114479136 | Arkansas Dental Professionals, Mongrain, P.a | Dentist | 5500 W Markham St, Little Rock, AR 72205-3412 | 2016-10-25 |
| 1467801233 | Joshua Ludford | Dentist | 13600 David O Dodd Rd, Little Rock, AR 72210-2746 | 2016-06-12 |
| 1316392012 | George E Gillian Dds | Dentist | 9700 W Markham St, Little Rock, AR 72205-2124 | 2016-04-30 |
| 1154789121 | Michael L Pohlkamp Dds Pa | Dentist | 16115 Saint Vincent Way Ste 110, Little Rock, AR 72223-3001 | 2016-02-05 |
| 1952772584 | Bethel Burris Oliver Pllc | Dentist | 401 S Bowman Rd, Little Rock, AR 72211-3452 | 2015-10-08 |
| 1184011611 | Richard C Keech, Dds P.a. | Dentist | 7206 F St, Little Rock, AR 72205-2621 | 2015-04-22 |
| 1841690633 | Cantrell West Dental | Dentist | 14309 Cantrell Rd Ste 6, Little Rock, AR 72223-4230 | 2014-08-28 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on DAVENPORT DENTAL, LLC.
| 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.