Provider Demographics
NPI:1326148867
Name:DENNIS, HOWARD W (DC)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:W
Last Name:DENNIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 ROGOSIN DR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTON
Mailing Address - State:TN
Mailing Address - Zip Code:37643-2906
Mailing Address - Country:US
Mailing Address - Phone:423-542-3337
Mailing Address - Fax:423-542-3386
Practice Address - Street 1:208 ROGOSIN DR
Practice Address - Street 2:
Practice Address - City:ELIZABETHTON
Practice Address - State:TN
Practice Address - Zip Code:37643-2906
Practice Address - Country:US
Practice Address - Phone:423-542-3337
Practice Address - Fax:423-542-3386
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000001297111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNU61423Medicare UPIN
TN3678298Medicare ID - Type Unspecified