Individual
DR. DOUGLAS EDWARD DENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0420007975
VT
2084P0804X
Child & Adolescent Psychiatry Physician
0420007975
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00009967
BCBS
VT
01
—
20P005
MVP
VT
01
—
71747
CIGNA
VT
05
—
9532
—
VT
Enumeration date
06/28/2005
Last updated
08/19/2015
Update your record
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