Provider record
Maynard Davenport D.D.S.
Maynard Davenport D.D.S. is listed in CMS NPPES as an individual provider record with an Orthodontics And Dentofacial Orthopedics Dentistry taxonomy. The record shows a practice location at 43 W White Mountain Blvd, Pinetop, AZ. NPPES also reports a phone number. Confirm current office details directly with the provider.
National Plan and Provider Enumeration System
CMS NPPES
Reported to NPPES
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We show source-reported CMS NPPES fields.
Confirm details directly with the provider.NPI and status
Source-labeled identifiers and reported record state.
- NPI
- 1700832458
- Entity type
- Individual
- NPPES status
- Reported active
- License status
- Not primary-source verified
Practice location
Practice address and phone as reported in CMS NPPES.
- Address
- 43 W White Mountain Blvd
Pinetop, AZ 85935-7060 - Phone
- (928) 367-3543
Directions
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- Confirm the office address and phone number directly with the provider.
- Use the NPI number when comparing this record with CMS NPPES.
- Check state licensing sources separately for license status or disciplinary history.
- Ask the office about insurance, appointments, services, and availability.
Taxonomy and source
Specialty taxonomy is source-reported and not a quality or license determination.
- Taxonomy code
- 1223X0400X
- Specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Source
- CMS NPPES
- Last updated
- July 12, 2026
Record actions
Contact and sources
Call the reported phone number or review how CMS NPPES fields are used.