Provider Demographics
NPI:1972573301
Name:ASEN, DENNIS PETER
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:PETER
Last Name:ASEN
Suffix:
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 1:3420 WALBERT AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-1700
Mailing Address - Country:US
Mailing Address - Phone:610-366-9096
Mailing Address - Fax:610-366-3898
Practice Address - Street 1:3420 WALBERT AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-1700
Practice Address - Country:US
Practice Address - Phone:610-366-9096
Practice Address - Fax:610-366-3898
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020942L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist