Provider Demographics
NPI:1235289943
Name:DENLEY, JOHN W (DMD)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:W
Last Name:DENLEY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 LOWELL ST
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-1017
Mailing Address - Country:US
Mailing Address - Phone:781-245-1731
Mailing Address - Fax:781-245-2325
Practice Address - Street 1:202 LOWELL ST
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-1017
Practice Address - Country:US
Practice Address - Phone:781-245-1731
Practice Address - Fax:781-245-2325
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA128041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice