Provider Demographics
NPI:1043031149
Name:BIGGS, DENNIS G
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:G
Last Name:BIGGS
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 1:929 N HIGHWAY 67 ST
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-2917
Mailing Address - Country:US
Mailing Address - Phone:314-838-5959
Mailing Address - Fax:254-300-4990
Practice Address - Street 1:929 N HIGHWAY 67 ST
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-2917
Practice Address - Country:US
Practice Address - Phone:314-838-5959
Practice Address - Fax:254-300-4990
Is Sole Proprietor?:No
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024022284237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist