Provider Demographics
NPI:1538384581
Name:DOLES, DENNIS DEAN (DDS)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:DEAN
Last Name:DOLES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 N ALLEN DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-2545
Mailing Address - Country:US
Mailing Address - Phone:972-727-7269
Mailing Address - Fax:972-727-6169
Practice Address - Street 1:420 N ALLEN DR
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-2545
Practice Address - Country:US
Practice Address - Phone:972-727-7269
Practice Address - Fax:972-727-6169
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX163361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice