Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Davenport Modern Dentistry, PA

Organization Dentist · NPI 1568005999

Davenport Modern Dentistry, PA is a Dentist in Davenport, Florida. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1159 Posner Blvd
Davenport, FL 33837-3664
Phone: (863) 777-9890
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1568005999
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Minh Pham — Owner/Dds · (863) 777-9890
Other names Davenport Modern Dentistry; Davenport Modern Dentistry
NPI enumeratedOctober 17, 2019
Last updated in NPPESJune 14, 2022
Certification dateJune 14, 2022
Mailing addressPo Box 920050, Dallas, TX 75392-0050

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