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NPI Code Detail

MEDICARE: DR. CHRISTOPHER MICHAEL DENNIS OD

MEDICARE: DR. CHRISTOPHER MICHAEL DENNIS OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist2646TN

General Provider Information

NPI Number : 1063430205
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER MICHAEL DENNIS OD
Provider Business Mailing Address
First Line : 1905 JONAHS RIDGE DR
Second Line :
City : NOLENSVILLE
State : TN
Zip : 37135-9609
Country : US
Telephone Number : 615-715-6822
Fax Number :
Provider Business Practice Location Address
First Line : 2000 OLD FORT PKWY
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-6907
Country : US
Telephone Number : 615-848-3008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 06/06/2013

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