Provider Demographics
NPI:1922190669
Name:DENNIS P. MOHNEY
Entity Type:Organization
Organization Name:DENNIS P. MOHNEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:P
Authorized Official - Last Name:MOHNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:305-558-3611
Mailing Address - Street 1:15175 EAGLE NEST LN
Mailing Address - Street 2:SUITE # 107
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2244
Mailing Address - Country:US
Mailing Address - Phone:305-558-3611
Mailing Address - Fax:
Practice Address - Street 1:15175 EAGLE NEST LN
Practice Address - Street 2:SUITE # 107
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2244
Practice Address - Country:US
Practice Address - Phone:305-558-3611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL510234OtherUNITED CONCORDIA
FL66257OtherBC/BS