Dodd, Dennis

Dodd, Dennis is an sole proprietor health care provider with primary practice located at 5602 Sw Lee Blvd , Lawton OK 73505-9635. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Dodd, Dennis can be contacted via phone (580) 531-4727.

Contact Information

Primary practice address
5602 Sw Lee Blvd Lawton OK 73505-9635
Phone: (580) 531-4727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R0040475 Oklahoma

Profile Details

NPI number 1326044603
LBN Legal business name Dodd, Dennis
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated Mar 19th, 2013 - about 12 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 1326044603 NPPES
Oklahoma MEDICAID 100789080A

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