Provider Demographics
NPI:1497950810
Name:DENTON, NANCY CAROL (OD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:CAROL
Last Name:DENTON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3108 MULLINEAUX LN
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-7104
Mailing Address - Country:US
Mailing Address - Phone:410-750-0721
Mailing Address - Fax:
Practice Address - Street 1:10015 OLD COLUMBIA RD
Practice Address - Street 2:STE J135
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-1741
Practice Address - Country:US
Practice Address - Phone:410-381-1688
Practice Address - Fax:410-381-3855
Is Sole Proprietor?:No
Enumeration Date:2007-06-16
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA1071152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist