Provider Demographics
NPI:1962777193
Name:ANNE H DENNEHY DDS
Entity type:Organization
Organization Name:ANNE H DENNEHY DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:H
Authorized Official - Last Name:DENNEHY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:541-245-6648
Mailing Address - Street 1:801 E MAIN ST STE 101
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-7169
Mailing Address - Country:US
Mailing Address - Phone:541-245-6648
Mailing Address - Fax:541-245-6647
Practice Address - Street 1:801 E MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-7169
Practice Address - Country:US
Practice Address - Phone:541-245-6648
Practice Address - Fax:541-245-6647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-21
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty