Individual
JEFFREY DENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1720 RED CLOVER DR, LEBANON, OH 45036-4094
(248) 804-0145
Mailing address
1720 RED CLOVER DR, LEBANON, OH 45036-4094
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
4704329442
MI
164W00000X
Licensed Practical Nurse
4703115986
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
459217
OH
Other
Enumeration date
09/13/2016
Last updated
09/16/2025
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