Dennis, Deanna

Dennis, Deanna is an individual health care provider with primary practice located at 438 Main St Suite 204, Middletown CT 06457-3397. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Dennis, Deanna can be contacted via phone (888) 964-6681.

Contact Information

Primary practice address
438 Main St Suite 204 Middletown CT 06457-3397
Phone: (888) 964-6681
Fax: (888) 662-0859
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 008102 Connecticut

Profile Details

NPI number 1003246042
LBN Legal business name Dennis, Deanna
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2013
Last updated Oct 23rd, 2014 - about 12 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 1003246042 NPPES
Connecticut MEDICAID 008049103

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