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NPI Code Detail

MEDICARE: DR. ASHLYNN DENNINGTON OD

MEDICARE:  DR. ASHLYNN  DENNINGTON  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
1152W00000XOptometrist9728TTX

General Provider Information

NPI Number : 1437702107
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASHLYNN DENNINGTON OD
Provider Business Mailing Address
First Line : 9091 FAIR OAKS PKWY STE 307
Second Line :
City : FAIR OAKS RANCH
State : TX
Zip : 78015-4690
Country : US
Telephone Number : 210-698-6393
Fax Number : 210-698-9788
Provider Business Practice Location Address
First Line : 9091 FAIR OAKS PKWY STE 307
Second Line :
City : FAIR OAKS RANCH
State : TX
Zip : 78015-4690
Country : US
Telephone Number : 210-698-6393
Fax Number : 210-698-9788
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2019
Last Update Date : 04/21/2022

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Directions to “ DR. ASHLYNN DENNINGTON OD” Practice Location

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