Davenport Endodontics LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DAVENPORT ENDODONTICS LLC

Practice address

2310 North Blvd W Ste CD
Davenport, FL 33837-8987

Phone

(863) 353-6060

Fax

(863) 353-6094

NPI assigned

Jul 8, 2022

Last updated

Jul 8, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ahmed Alzubaidi, DMD MSNPI 1851793640

Title

President

Phone

(313) 333-5523

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ahmed Alzubaidi, D.M.D

  • Dentist
  • Davie, FL
  • NPI 1851793640
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1356074181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 NORTH BLVD W STE CD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378987",
            "telephone_number": "863-353-6060",
            "fax_number": "863-353-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 NORTH BLVD W STE CD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378987",
            "telephone_number": "863-353-6060",
            "fax_number": "863-353-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVENPORT ENDODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "ALZUBAIDI",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-333-5523",
        "authorized_official_credential": "DMD MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dao-Nguyen DMD PA (Zenith Dental)
• Anna A Dao, DMD
• Davenport Ambulatory Surgery Center, L.L.C.
• Davenport Anesthesia Group LLC
• Davenport Dental Associates LLC
• Davenport Medical Center LLC
• Davenport Modern Dentistry, PA (Davenport Modern Dentistry)
• Davenport Opco LLC
• Davenport Pediatric Dentistry, PLLC
• Davenport Pediatrics

• Dentist in Davenport, FL
• Providers in Davenport, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.