Healthcare Provider Details

I. General information

NPI: 1366406753
Provider Name (Legal Business Name): DENNIS CALVANO DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1557 COMMERCE RD SUITE 204
VERONA VA
24482-9703
US

IV. Provider business mailing address

94 MILL POND RD
VERONA VA
24482-2539
US

V. Phone/Fax

Practice location:
  • Phone: 540-248-2500
  • Fax: 540-248-2526
Mailing address:
  • Phone: 540-248-2722
  • Fax: 540-248-2526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: