Provider Demographics
NPI:1972519114
Name:DHONDT, DENNIS GERARD (DDS)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:GERARD
Last Name:DHONDT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31042 UTICA RD
Mailing Address - Street 2:
Mailing Address - City:FRASER
Mailing Address - State:MI
Mailing Address - Zip Code:48026
Mailing Address - Country:US
Mailing Address - Phone:586-294-4455
Mailing Address - Fax:586-294-3372
Practice Address - Street 1:31042 UTICA RD
Practice Address - Street 2:
Practice Address - City:FRASER
Practice Address - State:MI
Practice Address - Zip Code:48026-2534
Practice Address - Country:US
Practice Address - Phone:586-294-4455
Practice Address - Fax:586-294-3372
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901013294122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist