Individual
MR. DALE KENNETH DENTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
205 W MAPLE AVE, SUITE 301, ENID, OK 73701-4026
(580) 548-1106
(580) 233-8802
Mailing address
849 HATTON COVE, COLLIERVILLE, TN 38017-7395
(901) 850-9390
(901) 850-9519
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
9454
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
R0086924
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3604755
—
TN
Enumeration date
10/05/2006
Last updated
07/29/2015
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