Provider Demographics
NPI:1396919775
Name:RESNICK, DENNIS H (DDS)
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:H
Last Name:RESNICK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 SISSON AVENUE
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-3109
Mailing Address - Country:US
Mailing Address - Phone:860-904-5963
Mailing Address - Fax:860-906-1549
Practice Address - Street 1:231 SISSON AVENUE
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-3109
Practice Address - Country:US
Practice Address - Phone:860-904-5963
Practice Address - Fax:860-906-1549
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032507122300000X, 1223G0001X
CT0059071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist