Elizabeth Corene Davenport, RDH
Dental Hygienist in Pagosa Springs, CO. Individual provider (NPI-1).
NPI number1992307995
StatusActive
Last updated in NPPESMay 11, 2022
Details
- NPI
- 1992307995
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Corene Davenport
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 13, 2020
- Certification date
- May 11, 2022
- Last updated
- May 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | DH.000906617 | CO | Yes |
Practice location
190 Talisman Dr Unit D4Pagosa Springs, CO 81147-9171
Phone 970-585-4424
Mailing address
190 Talisman Dr Unit D4Pagosa Springs, CO 81147-9171
Phone 970-585-4424
Other practice locations
450 Lewis St # 3d
Pagosa Springs, CO 81147-7508
Pagosa Springs, CO 81147-7508
Phone 970-398-1988
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