Provider Demographics
NPI:1003000621
Name:DULLANO, DENNIS (DC)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:
Last Name:DULLANO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 HERMITAGE RD
Mailing Address - Street 2:#2418
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220-1338
Mailing Address - Country:US
Mailing Address - Phone:904-234-7704
Mailing Address - Fax:
Practice Address - Street 1:800 BUFFALO ST
Practice Address - Street 2:SUITE B
Practice Address - City:FARMVILLE
Practice Address - State:VA
Practice Address - Zip Code:23901-1112
Practice Address - Country:US
Practice Address - Phone:434-315-5868
Practice Address - Fax:434-736-9895
Is Sole Proprietor?:No
Enumeration Date:2007-08-28
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556571111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor