Provider Demographics
NPI:1184703282
Name:GARVER, DENNIS W (M D)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:W
Last Name:GARVER
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 S MANGUM ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-4688
Mailing Address - Country:US
Mailing Address - Phone:855-224-7315
Mailing Address - Fax:
Practice Address - Street 1:555 S MANGUM ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-4688
Practice Address - Country:US
Practice Address - Phone:855-224-7315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC99-00503207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891241QMedicaid
NC891241QMedicaid
NCG90769Medicare UPIN