Provider Demographics
NPI:1942223144
Name:DOBRZYNSKI, DENNIS A (MD)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:A
Last Name:DOBRZYNSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 ONEIDA VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-2252
Mailing Address - Country:US
Mailing Address - Phone:724-482-2717
Mailing Address - Fax:724-482-2769
Practice Address - Street 1:129 ONEIDA VALLEY RD
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-2252
Practice Address - Country:US
Practice Address - Phone:724-482-2717
Practice Address - Fax:724-482-2769
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101239089207RH0003X
PAMD468908207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1133087OtherUS HEALTH CARE
188953OtherANTHEM HELATHKEEPERS
37380008OtherBS DC
VA010236835Medicaid
4926236OtherCIGNA
188953OtherBC VA
37380008OtherCAPITAL CARE
1133087OtherUS HEALTH CARE