Provider Demographics
NPI:1396813358
Name:DENNIS, DAVID ARNOLD (DMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ARNOLD
Last Name:DENNIS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10300 BAILEY COVE RD SE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35803-2635
Mailing Address - Country:US
Mailing Address - Phone:256-650-0724
Mailing Address - Fax:256-650-0872
Practice Address - Street 1:10300 BAILEY COVE RD SE
Practice Address - Street 2:SUITE 4
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35803-2635
Practice Address - Country:US
Practice Address - Phone:256-650-0724
Practice Address - Fax:256-650-0872
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL29901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice