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Justin Davenport, DDS
NPI 1295844108 · on the registry since 2006
Practice
- Address
- 11225 Nall Ave
Suite 120
Leawood, KS 66211 - Phone
- (913) 345-1962
- Fax
- (913) 345-0365
- Organisation at this address
- Brianna Ganson, Dds, Llc
Leawood Family Dental Llc
Leawood Family Eye Care PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- KS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas