Provider Demographics
NPI:1023505005
Name:DENNE, CARTER MCCANCE (DO)
Entity type:Individual
Prefix:
First Name:CARTER
Middle Name:MCCANCE
Last Name:DENNE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:380 E BAYFRONT PKWY
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16507-2408
Mailing Address - Country:US
Mailing Address - Phone:814-877-9060
Mailing Address - Fax:814-877-9089
Practice Address - Street 1:380 E BAYFRONT PKWY
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507-2408
Practice Address - Country:US
Practice Address - Phone:814-877-9060
Practice Address - Fax:814-877-9089
Is Sole Proprietor?:No
Enumeration Date:2018-04-16
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS020362207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology