Provider Demographics
NPI:1457445975
Name:KENNETH R DENNIS INC
Entity Type:Organization
Organization Name:KENNETH R DENNIS INC
Other - Org Name:GULF COAST HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:BUMP
Authorized Official - Suffix:
Authorized Official - Credentials:H I S
Authorized Official - Phone:409-765-5500
Mailing Address - Street 1:621 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77550
Mailing Address - Country:US
Mailing Address - Phone:409-765-5500
Mailing Address - Fax:409-765-5607
Practice Address - Street 1:621 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77550
Practice Address - Country:US
Practice Address - Phone:409-765-5500
Practice Address - Fax:409-765-5607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50121332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment