Kirby L Davenport is a Bull Shoals, Arkansas based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Kirby L Davenport is
2230 for General Practice Dentistry in Arkansas. His current practice location is
Highway 178 & 508 Hillcrest, Bull Shoals. Patients can reach him at
870-445-4040.
Kirby L Davenport is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Kirby L Davenport speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Kirby L Davenport |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | Highway 178 & 508 Hillcrest, Bull Shoals, Arkansas, 72619 |
| Phone: | 870-445-4040 |
| Fax: | 870-445-3216 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1619912896 |
| NPI Enumeration Date: | 19 Jun, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kirby L Davenport are as mentioned below.
| License Number | Specialization | State | Status | |
| 2230 | General Practice Dentistry | Arkansas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kirby L Davenport such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 108534 | Other | Arkansas | UNITED CONCORDIA |
| 58699 | Other | Arkansas | BLUE CROSS BLUE SHIELD |
| 91028000040 | Other | Arkansas | QUAL CHOICE |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 717, Bull Shoals, Arkansas |
| Zip: | 72619-0717 |
| Phone Number: | 870-445-4040 |
| Fax Number: | 870-445-3216 |
Patients can reach Kirby L Davenport at
Highway 178 & 508 Hillcrest, Bull Shoals, Arkansas or can
call to book an appointment on 870-445-4040.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.