KIRBY L DAVENPORT DDS
NPI 1619912896
Dentist - General Practice in Bull Shoals, AR

Active since June 19, 2006
HIGHWAY 178 & 508 HILLCREST, BULL SHOALS, AR 72619(870) 445-4040(870) 445-3216 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kirby L Davenport Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIRBY L DAVENPORT DDS (NPI 1619912896) is an individual general practice provider in Bull Shoals, Arkansas, licensed in Arkansas (2230) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1619912896
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKIRBY L DAVENPORTCredential: DDS
Location AddressHIGHWAY 178 & 508 HILLCRESTBull Shoals, AR 72619
Mailing AddressPo Box 717Bull Shoals, AR 72619-0717 · (870) 445-4040 · Fax (870) 445-3216
Fax(870) 445-3216
Sole ProprietorNo
Enumeration DateJune 19, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1619912896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AR · 2230
Definition
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.
HIGHWAY 178 & 508 HILLCREST, Bull Shoals, AR 72619

Other Names 1

Professional Name (2)K L Davenport Dds

Other Identifiers 3

Other58699AR · Blue Cross Blue Shield
Other108534AR · United Concordia
Other91028000040AR · Qual Choice

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kirby Davenport's NPI number?

The NPI number for Kirby Davenport is 1619912896. It was assigned to this individual provider in the NPPES registry on June 19, 2006. The provider is also known as K L Davenport Dds.

Where is Kirby Davenport located?

Kirby Davenport practices at Highway 178 & 508 Hillcrest, Bull Shoals, AR 72619. The listed phone number is (870) 445-4040.

What is Kirby Davenport's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kirby Davenport was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.