Individual
DR. RICHARD LEE DENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 E CENTRE AVE, PORTAGE, MI 49002-5505
(269) 327-3005
(269) 327-3937
Mailing address
200 E CENTRE AVE, PORTAGE, MI 49002-5505
(269) 327-3005
(269) 327-3937
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15509
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J155090
BCBS MICHIGAN
MI
Enumeration date
02/20/2007
Last updated
07/08/2007
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