Dean, Kevin C.
Dean, Kevin C. is an sole proprietor health care provider with primary practice located at 4850 N 9Th Ave Ste 4 , Pensacola FL 32503-2406. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Dean, Kevin C. can be contacted via phone (850) 477-1125.Contact Information
Primary practice address
4850 N 9Th Ave Ste 4
Pensacola FL 32503-2406
Phone: (850) 477-1125
Fax: (850) 479-5809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN0012675 | Florida |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 4835 | Alabama |
Profile Details
| NPI number | 1922023563 |
|---|---|
| LBN Legal business name | Dean, Kevin C. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Nov 15th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922023563 | NPPES |
| Florida | MEDICAID | 071631600 | |
| Florida | MEDICAID | 009973460 |
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