Provider Demographics
NPI:1841787694
Name:PAINTER, DENNIS LAMAR I (LPE)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:LAMAR
Last Name:PAINTER
Suffix:I
Gender:M
Credentials:LPE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5356 ESTATE OFFICE DR STE 3
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-3664
Mailing Address - Country:US
Mailing Address - Phone:901-767-6351
Mailing Address - Fax:
Practice Address - Street 1:5356 ESTATE OFFICE DR STE 3
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-3664
Practice Address - Country:US
Practice Address - Phone:901-767-6351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-17
Last Update Date:2024-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000011801174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist