Provider Demographics
NPI:1356461917
Name:MARTIN E DENNIS MD PC
Entity Type:Organization
Organization Name:MARTIN E DENNIS MD PC
Other - Org Name:NORTHERN NEVADA WOMEN'S HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:E
Authorized Official - Last Name:DENNIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-762-1564
Mailing Address - Street 1:1865 PLUMAS ST STE 1
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-3386
Mailing Address - Country:US
Mailing Address - Phone:775-786-7440
Mailing Address - Fax:775-786-9389
Practice Address - Street 1:1865 PLUMAS ST STE 1
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-3386
Practice Address - Country:US
Practice Address - Phone:775-786-7440
Practice Address - Fax:775-786-9389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty