Disantis, Dennis E

Disantis, Dennis E is an individual health care provider with primary practice located at 2675 N Decatur Rd Suite 506, Decatur GA 30033-6131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Disantis, Dennis E can be contacted via phone (404) 299-1679.

Contact Information

Primary practice address
2675 N Decatur Rd Suite 506 Decatur GA 30033-6131
Phone: (404) 299-1679
Fax: (404) 508-7694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 018138 Georgia

Profile Details

NPI number 1437193513
LBN Legal business name Disantis, Dennis E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Feb 23rd, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437193513 NPPES
Georgia MEDICAID 00110162A
Georgia Other 582322161

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