Provider Demographics
NPI:1780668053
Name:UKEN, DENNIS L (AUD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:L
Last Name:UKEN
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2626 WINNE AVE
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-4917
Mailing Address - Country:US
Mailing Address - Phone:406-443-8838
Mailing Address - Fax:406-443-6367
Practice Address - Street 1:2626 WINNE AVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-4917
Practice Address - Country:US
Practice Address - Phone:406-443-8838
Practice Address - Fax:406-443-6367
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVA007231H00000X
MT1279231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100505442Medicaid
NVV36426Medicare PIN
NVV36426Medicare UPIN