Provider Demographics
NPI:1730282971
Name:FRANK L DAVENPORT DDS INC
Entity Type:Organization
Organization Name:FRANK L DAVENPORT DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & PRIMARY CARE PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:LESLIE
Authorized Official - Last Name:DAVENPORT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-497-5558
Mailing Address - Street 1:909 DAIRY ASHFORD RD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079
Mailing Address - Country:US
Mailing Address - Phone:281-497-5558
Mailing Address - Fax:281-497-7181
Practice Address - Street 1:909 DAIRY ASHFORD RD
Practice Address - Street 2:SUITE 111
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-5306
Practice Address - Country:US
Practice Address - Phone:281-497-5558
Practice Address - Fax:281-497-5558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10112TX1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty