Individual
DR. DENNIS ALAN HISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
PO BOX 104; 1028 NORTH COLLEGE ST, HARRODSBURG, KY 40330-0104
(859) 734-5437
(859) 715-0818
Mailing address
PO BOX 104; 1028 NORTH COLLEGE ST, HARRODSBURG, KY 40330-0104
(859) 734-5437
(859) 715-0818
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4264
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60042645
—
KY
01
—
61-0975938
TAX ID #
—
Enumeration date
12/27/2006
Last updated
11/16/2016
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