Provider Demographics
NPI:1326197518
Name:DEMPSEY, RENEE (DMD)
Entity Type:Individual
Prefix:DR
First Name:RENEE
Middle Name:
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 FORD ROAD
Mailing Address - Street 2:SUITE 12
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-2001
Mailing Address - Country:US
Mailing Address - Phone:215-471-9620
Mailing Address - Fax:215-877-5551
Practice Address - Street 1:3900 FORD ROAD
Practice Address - Street 2:SUITE 12
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19131-2001
Practice Address - Country:US
Practice Address - Phone:215-471-9620
Practice Address - Fax:215-877-5551
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028820L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice