Provider Demographics
NPI:1275323404
Name:MAGANA, DENNIS JAMES
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:JAMES
Last Name:MAGANA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4829 AUTUMN LN
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:OH
Mailing Address - Zip Code:44144-3152
Mailing Address - Country:US
Mailing Address - Phone:216-401-8888
Mailing Address - Fax:
Practice Address - Street 1:4829 AUTUMN LN
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:OH
Practice Address - Zip Code:44144-3152
Practice Address - Country:US
Practice Address - Phone:216-401-8888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care