Davenport, Monica Annette
Davenport, Monica Annette is an sole proprietor health care provider with primary practice located at 1850 Martin Luther King Dr , Shreveport LA 71107-5020. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Davenport, Monica Annette can be contacted via phone (318) 226-0244.Contact Information
Primary practice address
1850 Martin Luther King Dr
Shreveport LA 71107-5020
Phone: (318) 226-0244
Fax: (318) 226-0282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5001 | Louisiana |
Profile Details
| NPI number | 1740224435 |
|---|---|
| LBN Legal business name | Davenport, Monica Annette |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Feb 19th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740224435 | NPPES |
| Louisiana | MEDICAID | 5001 |
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