Individual
MR. RAYMOND L DENNANY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
21 N WASHINGTON ST, BRAZIL, IN 47834
(812) 448-3639
(812) 446-0250
Mailing address
21 N WASHINGTON ST, BRAZIL, IN 47834
(812) 448-3639
(812) 446-0250
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008307
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100079230
—
IN
Enumeration date
12/11/2006
Last updated
12/09/2014
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