MEDICARE: DENNIS DENTAL PLLC

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
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1730785809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENNIS DENTAL PLLC

Provider Business Mailing Address
First Line	:	401 E CROCKETT ST STE A
Second Line	:
City	:	CLEVELAND
State	:	TX
Zip	:	77327-4397
Country	:	US
Telephone Number	:	832-480-5080
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 E CROCKETT ST STE A
Second Line	:
City	:	CLEVELAND
State	:	TX
Zip	:	77327-4397
Country	:	US
Telephone Number	:	832-480-5080
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROPAFADZO CYNTHIA DENNIS
Credential	:	DDS
Telephone Number	:	832-480-5090

Provider Enumeration Date	:	12/04/2020
Last Update Date	:	12/04/2020

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Directions to “DENNIS DENTAL PLLC ” Practice Location

Language	Start Address	Practice Location

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