National Provider Identifier

Mark S. Davenport, M.D.

Mark S. Davenport, M.D. is listed in the NPPES registry with a primary specialty of Plastic Surgery Physician in Rochester, NY and a listed phone number of (585) 922-5840.

NPI 1841217387Rochester, NYPlastic Surgery Physician

Profile Overview

NPI
1841217387
Provider Type
Individual
Primary Specialty
Plastic Surgery Physician
Enumeration Date
July 17, 2006
Last Updated
December 29, 2009

Practice Location

  • 10 Hagen Dr
  • Suite 310
  • Rochester, NY 14625-2660

Phone: (585) 922-5840

Specialties

  • Plastic Surgery Physician (208200000X)
  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician (2082S0099X)
  • Surgery of the Hand (Plastic Surgery) Physician (2082S0105X)
Full Record
NPI
1841217387
Entity Type
Individual
Last Name
Davenport
First Name
Mark
Middle Name
S.
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
10 Hagen Dr
Mailing Address Line 2
Suite 310
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14625-2660
Mailing Country
US
Mailing Phone
(585) 922-5840
Mailing Fax
(585) 586-7558
Practice Street Address
10 Hagen Dr
Practice Address Line 2
Suite 310
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14625-2660
Practice Country
US
Practice Phone
(585) 922-5840
Practice Fax
(585) 586-7558
Enumeration Date
July 17, 2006
Last Updated
December 29, 2009
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Plastic Surgery Physician (208200000X), Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician (2082S0099X), Surgery of the Hand (Plastic Surgery) Physician (2082S0105X)