Individual
ROBERT CRAWFORD DENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2308 WADSWORTH AVE, SAGINAW, MI 48601-1435
(989) 792-7771
(989) 754-8792
Mailing address
501 LAPEER AVE, HEALTH DELIVERY INC, SAGINAW, MI 48607
(989) 759-6400
(989) 759-6423
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901009892
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
381908328
DENTEMAX
—
01
—
381908328020
DENTAL BLUE
—
05
—
4234625
—
MI
01
—
88096MI
WADSWORTH
—
01
—
88123MI
BAYSIDE
—
01
—
88170MI
OUTER DRIVE
—
01
—
88171MI
COMMERCE
—
01
—
D801095
BLUE CROSS
—
01
—
OO434368
UNITED CONCORDIA
—
Enumeration date
10/11/2005
Last updated
09/05/2012
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