Healthcare Provider Details

I. General information

NPI: 1972440907
Provider Name (Legal Business Name): DR. DEANNA DENMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 ERIE ST S
MASSILLON OH
44646-7976
US

IV. Provider business mailing address

2452 HEIDELBERG AVE SE
MASSILLON OH
44646-9628
US

V. Phone/Fax

Practice location:
  • Phone: 330-833-3135
  • Fax:
Mailing address:
  • Phone: 330-639-9535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH.03230209
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: