Healthcare Provider Details

I. General information

NPI: 1134879455
Provider Name (Legal Business Name): ALYSSA TAYLOR DENNIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2022
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 E WILLIAMS AVE
FALLON NV
89406-3052
US

IV. Provider business mailing address

4637 CHABOT DR STE 104
PLEASANTON CA
94588-2749
US

V. Phone/Fax

Practice location:
  • Phone: 775-423-3151
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number29894
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: