Basic Information
Provider Information
NPI: 1881736031
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TEMPLETON
FirstName: DENNIS
MiddleName: J.
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherLastNameType:  
Mailing Information
Address1: 500 RAY C HUNT DR
Address2:  
City: CHARLOTTESVILLE
State: VA
PostalCode: 229032981
CountryCode: US
TelephoneNumber: 4349806140
FaxNumber: 4349724266
Practice Location
Address1: UVA OLD MEDICAL SCHOOL
Address2: HOSPITAL DRIVE
City: CHARLOTTESVILLE
State: VA
PostalCode: 229080001
CountryCode: US
TelephoneNumber: 4349241946
FaxNumber: 4349249312
Other Information
ProviderEnumerationDate: 02/13/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZP0101X0101231707VAY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology

No ID Information.


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