Provider Demographics
NPI:1326035080
Name:HESS, DENNIS C (MD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:C
Last Name:HESS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:2230 N UNIVERSITY PKWY
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-1509
Mailing Address - Country:US
Mailing Address - Phone:801-377-3413
Mailing Address - Fax:801-377-3416
Practice Address - Street 1:2230 N UNIVERSITY PKWY
Practice Address - Street 2:SUITE 1A
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-1509
Practice Address - Country:US
Practice Address - Phone:801-377-3413
Practice Address - Fax:801-377-3416
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT1481771205207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTD20355Medicare UPIN