Healthcare Provider Details

I. General information

NPI: 1851567903
Provider Name (Legal Business Name): DENNIS M HUTT DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2008
Last Update Date: 09/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 S MAIN ST WELLINGTON SQUARE, SUITE 101
GREENSBURG PA
15601-5370
US

IV. Provider business mailing address

1225 S MAIN ST WELLINGTON SQUARE, SUITE 101
GREENSBURG PA
15601-5370
US

V. Phone/Fax

Practice location:
  • Phone: 724-832-8000
  • Fax: 724-834-3333
Mailing address:
  • Phone: 724-832-8000
  • Fax: 724-834-3333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberSC005862
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: