Banducci, Dennis Ray

Banducci, Dennis Ray is an individual health care provider with primary practice located at 2807 N Front St , Harrisburg PA 17110-1222. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Banducci, Dennis Ray can be contacted via phone (717) 233-4691.

Contact Information

Primary practice address
2807 N Front St Harrisburg PA 17110-1222
Phone: (717) 233-4691
Fax: (717) 233-8836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD-04125-E Pennsylvania
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X MD041256E Pennsylvania

Profile Details

NPI number 1194756320
LBN Legal business name Banducci, Dennis Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Aug 30th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194756320 NPPES
Pennsylvania MEDICAID 001127882004

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