| Organization Name: | TROY H. DENNIS D.M.D. PC |
| NPI Number: | 1356675342 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TROY H. DENNIS (OWNER) |
| Mailing Address: | 311 8th Ave Sw Childersburg |
| State: | AL US |
| Postal Code: | 350441625 |
| Phone Number: | 2563785442 |
| Fax Number: | 2563785427 |
| NPI Enumeration Date: | 09/24/2009 |
| NPI Last Update Date: | 09/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 4916 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |