Provider Demographics
NPI: | 1740751270 |
---|---|
Name: | DENNISON INVESTMENTS |
Entity type: | Organization |
Organization Name: | DENNISON INVESTMENTS |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | WILLIAM |
Authorized Official - Middle Name: | C |
Authorized Official - Last Name: | DENNISON |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | BC-HIS |
Authorized Official - Phone: | 770-209-2627 |
Mailing Address - Street 1: | 3511 BRASELTON HWY STE G-100 |
Mailing Address - Street 2: | |
Mailing Address - City: | DACULA |
Mailing Address - State: | GA |
Mailing Address - Zip Code: | 30019-5925 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 770-209-2627 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 3511 BRASELTON HWY STE G-100 |
Practice Address - Street 2: | |
Practice Address - City: | DACULA |
Practice Address - State: | GA |
Practice Address - Zip Code: | 30019-5925 |
Practice Address - Country: | US |
Practice Address - Phone: | 770-209-2627 |
Practice Address - Fax: | 770-881-7858 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | DENNISON INVESTMENTS |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2018-12-10 |
Last Update Date: | 2018-12-10 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 237700000X | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist | Group - Single Specialty |