Provider Demographics
NPI:1164769246
Name:DENNIS VANMETER, DMD PC
Entity Type:Organization
Organization Name:DENNIS VANMETER, DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:VANMETER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:423-775-1444
Mailing Address - Street 1:225 MAIN ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:DAYTON
Mailing Address - State:TN
Mailing Address - Zip Code:37321-1329
Mailing Address - Country:US
Mailing Address - Phone:423-775-1444
Mailing Address - Fax:423-775-1103
Practice Address - Street 1:225 MAIN ST
Practice Address - Street 2:SUITE 400
Practice Address - City:DAYTON
Practice Address - State:TN
Practice Address - Zip Code:37321-1329
Practice Address - Country:US
Practice Address - Phone:423-775-1444
Practice Address - Fax:423-775-1103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-10
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN73491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty