Provider Demographics
NPI:1356675342
Name:TROY H. DENNIS D.M.D. PC
Entity Type:Organization
Organization Name:TROY H. DENNIS D.M.D. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:H
Authorized Official - Last Name:DENNIS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:256-378-5442
Mailing Address - Street 1:PO BOX 326
Mailing Address - Street 2:
Mailing Address - City:CHILDERSBURG
Mailing Address - State:AL
Mailing Address - Zip Code:35044-0326
Mailing Address - Country:US
Mailing Address - Phone:256-378-5442
Mailing Address - Fax:256-378-5427
Practice Address - Street 1:311 8TH AVE SW
Practice Address - Street 2:
Practice Address - City:CHILDERSBURG
Practice Address - State:AL
Practice Address - Zip Code:35044-1625
Practice Address - Country:US
Practice Address - Phone:256-378-5442
Practice Address - Fax:256-378-5427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-24
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4916261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental