Healthcare Provider Details

I. General information

NPI: 1558478644
Provider Name (Legal Business Name): TOWN OF DENNIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 03/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

685 ROUTE 134
SOUTH DENNIS MA
02660-3056
US

IV. Provider business mailing address

685 ROUTE 134
SOUTH DENNIS MA
02660-3056
US

V. Phone/Fax

Practice location:
  • Phone: 508-760-6158
  • Fax: 508-394-6289
Mailing address:
  • Phone: 508-760-6158
  • Fax: 508-394-6289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. RICHARD J. WHITE
Title or Position: TOWN ADMINISTRATOR
Credential:
Phone: 508-760-6118