| Davenport Pediatric Dentistry, Pllc | |
|
2592 Jacks Rd Davenport FL 33897-8007 | |
| (863) 866-0014 | |
| Not Available |
| Full Name | Davenport Pediatric Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2592 Jacks Rd, Davenport, Florida |
| Authorized Official Name and Position | Latoya Jones Douglas (MEMBER) |
| Authorized Official Contact | 8638660014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davenport Pediatric Dentistry, Pllc 2592 Jacks Rd Davenport FL 33897-8007 Ph: () - | Davenport Pediatric Dentistry, Pllc 2592 Jacks Rd Davenport FL 33897-8007 Ph: (863) 866-0014 |
| NPI Number | 1851278493 |
|---|---|
| Provider Enumeration Date | 08/18/2025 |
| Last Update Date | 08/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851278493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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