MEDICARE: DR. DOUGLAS RAY DENISON DMD

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	DN11797	FL

General Provider Information

NPI Number	:	1952469926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS RAY DENISON DMD

Provider Business Mailing Address
First Line	:	2430 S ATLANTIC AVE
Second Line	:	SUITE D.
City	:	DAYTONA BEACH SHORES
State	:	FL
Zip	:	32118-5437
Country	:	US
Telephone Number	:	386-255-1633
Fax Number	:	386-253-4994

Provider Business Practice Location Address
First Line	:	2430 S ATLANTIC AVE
Second Line	:	SUITE D.
City	:	DAYTONA BEACH SHORES
State	:	FL
Zip	:	32118-5437
Country	:	US
Telephone Number	:	386-255-1633
Fax Number	:	386-253-4994

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1346349909 — DR. MICHAEL SCOTT BOLD OD
Practice Location Address:

2628 SAN MIGUEL DR
NEWPORT BEACH, CA
92660-5437

Practice Phone: 949-644-0165
Practice Fax: 949-644-7762

1578836383 — AMG PARTNERS LLC
Practice Location Address:

2618 SAN MIGUEL DR , STE 110
HUNTINGTON BEACH, CA
92660-5437

Practice Phone: 909-786-4436
Practice Fax:

1497009831 — KEITH H TAM DDS INC
Practice Location Address:

2674 SAN MIGUEL DR
NEWPORT BEACH, CA
92660-5437

Practice Phone: 949-478-6628
Practice Fax:

1922449933 — DR. SHAUN JAMESON WIEBE-BAILEY D.C.
Practice Location Address:

2618 SAN MIGUEL DR STE 130
NEWPORT BEACH, CA
92660-5437

Practice Phone: 949-275-1850
Practice Fax:

1487218988 — DR. VIVIAN OBERLING PSYD
Practice Location Address:

2618 SAN MIGUEL DR # 2024
NEWPORT BEACH, CA
92660-5437

Practice Phone: 949-229-3963
Practice Fax:

1548899644 — BELLA TEAM LTD.
Practice Location Address:

2618 SAN MIGUEL DR STE 1288
NEWPORT BEACH, CA
92660-5437

Practice Phone: 626-644-0070
Practice Fax:

Directions to “ DR. DOUGLAS RAY DENISON DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.