Provider Demographics
NPI:1679731848
Name:DEMPSEY, PETER JOSEPH (DO)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:JOSEPH
Last Name:DEMPSEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 ORVILLE ST
Mailing Address - Street 2:APT. 15
Mailing Address - City:FAIRBORN
Mailing Address - State:OH
Mailing Address - Zip Code:45324-2968
Mailing Address - Country:US
Mailing Address - Phone:937-754-1314
Mailing Address - Fax:
Practice Address - Street 1:247 ORVILLE ST
Practice Address - Street 2:APT. 15
Practice Address - City:FAIRBORN
Practice Address - State:OH
Practice Address - Zip Code:45324-2968
Practice Address - Country:US
Practice Address - Phone:937-754-1314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-23
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI0170992083A0100X
KS05282382083A0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine