Anthony T Dean, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 11435 Issued in FL

Practice address

945 Lane Ave S
Jacksonville, FL 32205-4706

Phone

(904) 781-4011

Fax

(904) 781-1726

NPI assigned

Oct 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174611651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7458 FLEMING ISLAND DR",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320439338",
            "telephone_number": "904-284-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 LANE AVE S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322054706",
            "telephone_number": "904-781-4011",
            "fax_number": "904-781-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "ANTHONY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 11435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/FLCOMBLIFE PROVIDER",
            "identifier": "67912",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "085024",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• De2 LLC (Panama Pharmacy #2)
• Nyla Deadwiler
• Latisha R Deal
• Angela Deallie
• Amber Nicole Dean, PA
• Charles Dean III, LMHC
• Cynthia Dean, BA
• Jacqueline C Dean, RN
• Julius Dean, MD
• Leesa Ann Dean, RN

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.