Provider Demographics
NPI:1407546708
Name:DENNIS, AMARI
Entity Type:Individual
Prefix:
First Name:AMARI
Middle Name:
Last Name:DENNIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7224 S ELWOOD AVE APT 29206
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74132-2462
Mailing Address - Country:US
Mailing Address - Phone:918-418-2593
Mailing Address - Fax:
Practice Address - Street 1:7224 S ELWOOD AVE APT 29206
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74132-2462
Practice Address - Country:US
Practice Address - Phone:918-418-2593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator