Individual
JOHN P DENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4414 LAKE BOONE TRL, SUITE 302, RALEIGH, NC 27607-7513
(919) 782-8038
(919) 782-8189
Mailing address
4414 LAKE BOONE TRL, SUITE 302, RALEIGH, NC 27607-7513
(919) 782-8038
(919) 782-8189
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
200300139
NC
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
200300139
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014T8
BCBS GROUP
NC
01
—
1360N
BCBS INDIVIDUAL
NC
01
—
562043271
TAX ID
NC
05
—
89014T8
—
NC
05
—
891360N
—
NC
Enumeration date
08/31/2006
Last updated
09/24/2020
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