Healthcare Provider Details

I. General information

NPI: 1780869735
Provider Name (Legal Business Name): DENNENY ENT CONSULTANTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2008
Last Update Date: 03/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E BLOUNT AVE STE G10
KNOXVILLE TN
37920-1637
US

IV. Provider business mailing address

101 E BLOUNT AVE STE G10
KNOXVILLE TN
37920-1637
US

V. Phone/Fax

Practice location:
  • Phone: 865-632-5999
  • Fax: 865-632-5998
Mailing address:
  • Phone: 865-632-5999
  • Fax: 865-632-5998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberTN17617
License Number StateTN

VIII. Authorized Official

Name: DR. JAMES C. DENNENY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 865-632-5999