Provider Demographics
NPI:1215347141
Name:DENNIS P ORR II DO LLC
Entity type:Organization
Organization Name:DENNIS P ORR II DO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:P
Authorized Official - Last Name:ORR
Authorized Official - Suffix:II
Authorized Official - Credentials:DO
Authorized Official - Phone:330-507-7001
Mailing Address - Street 1:7010 SOUTH AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-3603
Mailing Address - Country:US
Mailing Address - Phone:330-507-7001
Mailing Address - Fax:
Practice Address - Street 1:7010 SOUTH AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-3603
Practice Address - Country:US
Practice Address - Phone:330-507-7001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-30
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty