Provider Demographics
NPI:1780869735
Name:DENNENY ENT CONSULTANTS, PLLC
Entity type:Organization
Organization Name:DENNENY ENT CONSULTANTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:DENNENY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:865-632-5999
Mailing Address - Street 1:101 E BLOUNT AVE STE G10
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1637
Mailing Address - Country:US
Mailing Address - Phone:865-632-5999
Mailing Address - Fax:865-632-5998
Practice Address - Street 1:101 E BLOUNT AVE STE G10
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1637
Practice Address - Country:US
Practice Address - Phone:865-632-5999
Practice Address - Fax:865-632-5998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN17617207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3370242Medicare PIN