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1457345902

NPI Code Detail

MEDICARE: MR. DAVID R DENNISON MD

MEDICARE: MR. DAVID R DENNISON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	020688	GA
2	207R00000X	Internal Medicine Physician	2000-01479	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457345902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID R DENNISON MD

Provider Business Mailing Address
First Line	:	68 HOSPITAL RD
Second Line	:
City	:	SYLVA
State	:	NC
Zip	:	28779-2722
Country	:	US
Telephone Number	:	828-586-7428
Fax Number	:	828-586-7427

Provider Business Practice Location Address
First Line	:	68 HOSPITAL RD
Second Line	:
City	:	SYLVA
State	:	NC
Zip	:	28779-2722
Country	:	US
Telephone Number	:	828-586-7428
Fax Number	:	828-586-7427

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2005
Last Update Date	:	02/22/2013

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Directions to “ MR. DAVID R DENNISON MD” Practice Location

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