Provider Demographics
NPI:1023828464
Name:ASHMUN, DENNIS GERARD
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:GERARD
Last Name:ASHMUN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14280 S ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA STATION
Mailing Address - State:OH
Mailing Address - Zip Code:44028-9714
Mailing Address - Country:US
Mailing Address - Phone:216-440-1541
Mailing Address - Fax:
Practice Address - Street 1:14280 S ISLAND RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA STATION
Practice Address - State:OH
Practice Address - Zip Code:44028-9714
Practice Address - Country:US
Practice Address - Phone:216-440-1541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty