Provider Demographics
NPI:1861054991
Name:DENNIS, EMILY D'AUN (DDS)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:D'AUN
Last Name:DENNIS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1903 FM 1189 STE 100
Mailing Address - Street 2:
Mailing Address - City:BROCK
Mailing Address - State:TX
Mailing Address - Zip Code:76087-5613
Mailing Address - Country:US
Mailing Address - Phone:806-690-7772
Mailing Address - Fax:
Practice Address - Street 1:1903 FM 1189 STE 100
Practice Address - Street 2:
Practice Address - City:BROCK
Practice Address - State:TX
Practice Address - Zip Code:76087-5613
Practice Address - Country:US
Practice Address - Phone:806-690-7772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-28
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX354281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice