Healthcare Provider Details

I. General information

NPI: 1063451409
Provider Name (Legal Business Name): TOWN OF DENNIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 05/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

883 MAIN ST
WEST DENNIS MA
02670-2823
US

IV. Provider business mailing address

9 MAIN ST SUITE 2K
SUTTON MA
01590-1660
US

V. Phone/Fax

Practice location:
  • Phone: 508-398-2242
  • Fax: 508-398-5925
Mailing address:
  • Phone: 508-476-9740
  • Fax: 508-476-9748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MARC ALAN DELLNER
Title or Position: FIRE CHIEF
Credential:
Phone: 508-326-5071