Individual
DR. PAUL E DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
120 N HAMILTON RD, GAHANNA, OH 43230-2602
(614) 475-8134
(614) 475-8326
Mailing address
120 N HAMILTON RD, GAHANNA, OH 43230-2602
(614) 475-8134
(614) 475-8326
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3936T042
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0287176
—
OH
01
—
1308150001
DMERC SUPPLIER #
OH
Enumeration date
11/16/2005
Last updated
11/08/2007
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