Provider Demographics
NPI:1619842572
Name:DENNIS, MARQUESS SR
Entity type:Individual
Prefix:
First Name:MARQUESS
Middle Name:
Last Name:DENNIS
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3939 S HARVARD AVE STE 235
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-4677
Mailing Address - Country:US
Mailing Address - Phone:918-922-9445
Mailing Address - Fax:
Practice Address - Street 1:3939 S HARVARD AVE STE 235
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-4677
Practice Address - Country:US
Practice Address - Phone:918-922-9445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist