Provider Demographics
NPI:1225761919
Name:SCALES, DENNIS (PARAMEDIC-CC)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:SCALES
Suffix:
Gender:M
Credentials:PARAMEDIC-CC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3017 FISHER CT
Mailing Address - Street 2:
Mailing Address - City:GREENBRIER
Mailing Address - State:TN
Mailing Address - Zip Code:37073-5712
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1090 W CUTSINGER RD
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-9539
Practice Address - Country:US
Practice Address - Phone:615-389-6166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-08
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35511146L00000X
KY1124501146L00000X
M8060948146L00000X
IN2162-4691146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic