Provider Demographics
NPI:1679742118
Name:DNT MEDICAL SUPPLY SERVICE INC
Entity Type:Organization
Organization Name:DNT MEDICAL SUPPLY SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAMEIQUO
Authorized Official - Middle Name:
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-855-5333
Mailing Address - Street 1:920 N ARIZONA AVE
Mailing Address - Street 2:STE 7
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-6740
Mailing Address - Country:US
Mailing Address - Phone:480-855-5333
Mailing Address - Fax:480-445-9790
Practice Address - Street 1:920 N ARIZONA AVE
Practice Address - Street 2:STE 7
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-6740
Practice Address - Country:US
Practice Address - Phone:480-855-5333
Practice Address - Fax:480-445-9790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-28
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies