Provider Demographics
NPI:1245890847
Name:DENNY DENTAL SERVICES LLC
Entity type:Organization
Organization Name:DENNY DENTAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:DENNY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:513-344-2427
Mailing Address - Street 1:296 S FAIRFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BELLBROOK
Mailing Address - State:OH
Mailing Address - Zip Code:45305-8900
Mailing Address - Country:US
Mailing Address - Phone:513-344-2427
Mailing Address - Fax:
Practice Address - Street 1:3869 INDIAN RIPPLE RD
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45440-3410
Practice Address - Country:US
Practice Address - Phone:513-344-2427
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental