Davis, Dennis Allan
Davis, Dennis Allan is an individual health care provider with primary practice located at 143 Kennedy Dr , Martin TN 38237-3309. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Davis, Dennis Allan can be contacted via phone (731) 587-5321.Contact Information
Primary practice address
143 Kennedy Dr
Martin TN 38237-3309
Phone: (731) 587-5321
Fax: (731) 588-3229
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 28963 | Georgia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 46558 | Tennessee |
Profile Details
| NPI number | 1801838859 |
|---|---|
| LBN Legal business name | Davis, Dennis Allan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jan 3rd, 2012 - about 14 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 | 1801838859 | NPPES |
| Tennessee | Other | 4277903 | BCBS |
| Tennessee | MEDICAID | 1522027 | BCBS |
| Tennessee | Other | 010015387 | BCBS |
| Tennessee | Other | 237034DA | BCBS |
| Tennessee | MEDICAID | 00328391A | BCBS |
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