Provider Demographics
NPI:1578684817
Name:SCURRY, DENNIS JR (MD)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:
Last Name:SCURRY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6323 GEORGIA AVENUE NW
Mailing Address - Street 2:SUITE 208
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1137
Mailing Address - Country:US
Mailing Address - Phone:202-291-0124
Mailing Address - Fax:301-622-1850
Practice Address - Street 1:6323 GEORGIA AVE NW
Practice Address - Street 2:SUITE 208
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-1137
Practice Address - Country:US
Practice Address - Phone:202-291-0124
Practice Address - Fax:301-622-1850
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMC10997207QA0401X
DCMD 109972085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
Not Answered2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC006574M92Medicare ID - Type Unspecified
B93455Medicare UPIN