Provider Demographics
NPI:1407962368
Name:DOTSON, DENNIS RICHARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:RICHARD
Last Name:DOTSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 GARFIELD PL
Mailing Address - Street 2:SUITE 421
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-5727
Mailing Address - Country:US
Mailing Address - Phone:513-241-2467
Mailing Address - Fax:513-241-2467
Practice Address - Street 1:19 GARFIELD PL
Practice Address - Street 2:SUITE 421
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-5727
Practice Address - Country:US
Practice Address - Phone:513-241-2467
Practice Address - Fax:513-241-2467
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH14934122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist