Provider Demographics
NPI:1508041526
Name:P DELANY, NORMA EUGENIA
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:EUGENIA
Last Name:P DELANY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GINA
Other - Middle Name:P
Other - Last Name:DELANY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RDH
Mailing Address - Street 1:6311 KINGSTON PIKE
Mailing Address - Street 2:SUITE 8W
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-4906
Mailing Address - Country:US
Mailing Address - Phone:865-223-5585
Mailing Address - Fax:
Practice Address - Street 1:6311 KINGSTON PIKE
Practice Address - Street 2:SUITE 8W
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-4906
Practice Address - Country:US
Practice Address - Phone:865-223-5585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-09
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDH0000002754124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist