Provider Demographics
NPI:1366406753
Name:CALVANO, DENNIS (DMD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:
Last Name:CALVANO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 MILL POND RD
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:VA
Mailing Address - Zip Code:24482-2539
Mailing Address - Country:US
Mailing Address - Phone:540-248-2722
Mailing Address - Fax:540-248-2526
Practice Address - Street 1:1557 COMMERCE RD
Practice Address - Street 2:SUITE 204
Practice Address - City:VERONA
Practice Address - State:VA
Practice Address - Zip Code:24482-9703
Practice Address - Country:US
Practice Address - Phone:540-248-2500
Practice Address - Fax:540-248-2526
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA10664OtherDELTA DENTAL OF VA
237198OtherANTHEM BLUE CROSS BLUE SH
1488378OtherUNITED CONCORDIA PROVIDER