Provider Demographics
NPI:1083654370
Name:DILDAY, DENNIS EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:EDWARD
Last Name:DILDAY
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 1:8625 EVERGREEN WAY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-2620
Mailing Address - Country:US
Mailing Address - Phone:425-348-5207
Mailing Address - Fax:425-348-0560
Practice Address - Street 1:8625 EVERGREEN WAY
Practice Address - Street 2:SUITE #210
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-2645
Practice Address - Country:US
Practice Address - Phone:425-348-5207
Practice Address - Fax:425-348-0560
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00002016111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7285OtherDEPARTMENT OF LABOR & IND
WAR72262OtherREGENCE BLUE SHIELD
WA7285OtherDEPARTMENT OF LABOR & IND