Provider Demographics
NPI:1881834133
Name:ASHFORD, DENNIS MITCHELL (DC)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:MITCHELL
Last Name:ASHFORD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 W MILLPAGE DR
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-4818
Mailing Address - Country:US
Mailing Address - Phone:516-735-6039
Mailing Address - Fax:516-735-6039
Practice Address - Street 1:54 W MILLPAGE DR
Practice Address - Street 2:
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-4818
Practice Address - Country:US
Practice Address - Phone:516-735-6039
Practice Address - Fax:516-735-6039
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX-002713-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor