Banducci, Dennis Ray
Banducci, Dennis Ray is an individual health care provider with primary practice located at 2807 N Front St , Harrisburg PA 17110-1222. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Banducci, Dennis Ray can be contacted via phone (717) 233-4691.Contact Information
Primary practice address
2807 N Front St
Harrisburg PA 17110-1222
Phone: (717) 233-4691
Fax: (717) 233-8836
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | MD-04125-E | Pennsylvania |
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | MD041256E | Pennsylvania |
Profile Details
NPI number | 1194756320 |
---|---|
LBN Legal business name | Banducci, Dennis Ray |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 5th, 2006 |
Last updated | Aug 30th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194756320 | NPPES |
Pennsylvania | MEDICAID | 001127882004 |
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