Provider Demographics
NPI:1255659488
Name:CAIN, DENNIS PATRICK
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:PATRICK
Last Name:CAIN
Suffix:
Gender:M
Credentials:
Other - Prefix:MRS
Other - First Name:PATRICIA
Other - Middle Name:LOUISE
Other - Last Name:CAIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7364 NEW HORIZON AVE
Mailing Address - Street 2:
Mailing Address - City:ENON
Mailing Address - State:OH
Mailing Address - Zip Code:45323-1538
Mailing Address - Country:US
Mailing Address - Phone:937-269-2012
Mailing Address - Fax:937-864-5187
Practice Address - Street 1:7364 NEW HORIZON AVE
Practice Address - Street 2:
Practice Address - City:ENON
Practice Address - State:OH
Practice Address - Zip Code:45323-1538
Practice Address - Country:US
Practice Address - Phone:937-269-2012
Practice Address - Fax:937-864-5187
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor