Provider Demographics
NPI:1073280913
Name:DINGESS, DELORES J (RD)
Entity Type:Individual
Prefix:MRS
First Name:DELORES
Middle Name:J
Last Name:DINGESS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:494 ROBERT L. DINGESS RD.
Mailing Address - Street 2:
Mailing Address - City:HARTS
Mailing Address - State:WV
Mailing Address - Zip Code:25524
Mailing Address - Country:US
Mailing Address - Phone:304-855-4969
Mailing Address - Fax:
Practice Address - Street 1:494 ROBERT L. DINGESS RD.
Practice Address - Street 2:
Practice Address - City:HARTS
Practice Address - State:WV
Practice Address - Zip Code:25524
Practice Address - Country:US
Practice Address - Phone:304-855-4969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV750133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered