Davenport, Matthew Dale
Davenport, Matthew Dale is an individual health care provider with primary practice located at 3402 E Del Mar Blvd Ste 260 , Laredo TX 78041-6599. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Davenport, Matthew Dale can be contacted via phone (956) 324-5523.Contact Information
Primary practice address
3402 E Del Mar Blvd Ste 260
Laredo TX 78041-6599
Phone: (956) 324-5523
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 30131 | Texas |
Profile Details
| NPI number | 1154735942 |
|---|---|
| LBN Legal business name | Davenport, Matthew Dale |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2014 |
| Last updated | Jun 12th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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