Provider Demographics
NPI:1437220118
Name:DUMLER, DENNIS DALE (DC)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:DALE
Last Name:DUMLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9075 S. EASTERN AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123
Mailing Address - Country:US
Mailing Address - Phone:702-312-7920
Mailing Address - Fax:702-312-9714
Practice Address - Street 1:9075 S EASTERN AVE STE 4
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123
Practice Address - Country:US
Practice Address - Phone:702-312-7920
Practice Address - Fax:702-312-9714
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB678111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV3602067Medicaid
NV3602067Medicaid