Healthcare Provider Details
I. General information
NPI: 1417925637
Provider Name (Legal Business Name): FRANCIS XAVIER DENNEHY JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/14/2006
Last Update Date: 03/07/2023
Certification Date: 09/08/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
351 VALLEY HEALTH WAY # 300
FRONT ROYAL VA
22630-6480
US
IV. Provider business mailing address
19 ROYAL WALNUT CT
FRONT ROYAL VA
22630-8930
US
V. Phone/Fax
- Phone: 540-631-3700
- Fax:
- Phone: 540-635-6839
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 0101234529 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: