Healthcare Provider Details
I. General information
NPI: 1427089077
Provider Name (Legal Business Name): DENNIS FOOT CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/05/2006
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
900 ROUTE 134
SOUTH DENNIS MA
02660-2575
US
IV. Provider business mailing address
160 WEST ST
MILFORD MA
01757-2200
US
V. Phone/Fax
- Phone: 508-385-7126
- Fax: 508-385-3099
- Phone: 508-385-7126
- Fax: 508-385-3099
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAMES
A
ANDERSON
JR.
Title or Position: OWNER/PRESIDENT
Credential: DPM
Phone: 508-385-7126