Dean Family Dental Practice, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12006932A Issued in IN

Legal business name

DEAN FAMILY DENTAL PRACTICE, LLC

Practice address

710 W Mill Rd
Evansville, IN 47710-3928

Phone

(812) 425-4251

Fax

(812) 425-3086

NPI assigned

Jun 3, 2013

Organization subpart

No

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

Authorized official

Name

Dianne E. Dean

Title

Member, LLC / Office Manager

Phone

(812) 425-4251

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darren Michael Dean, D.D.S.

  • General Practice Dentistry
  • Evansville, IN
  • NPI 1811245350
  NPD (past)
• Andrew Dean Shephard, DDS

  • General Practice Dentistry
  • Evansville, IN
  • NPI 1912228222
  NPD (past)

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1629415419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 W MILL RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477103928",
            "telephone_number": "812-425-4251",
            "fax_number": "812-425-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W MILL RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477103928",
            "telephone_number": "812-425-4251",
            "fax_number": "812-425-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN FAMILY DENTAL PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MEMBER, LLC / OFFICE MANAGER",
        "authorized_official_telephone_number": "812-425-4251"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12006932A",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011866A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100241450A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deaconess Vna Plus, LLC
• Deaconess Vna Plus, LLC
• Deaconess Vna Plus, LLC
• Deaconess Welborn Surgical Holding Company, LLC
• Deaconess Women'S Hospital of Southern Indiana, LLC
• Darren Michael Dean, D.D.S.
• Lindsey L Dean, PT
• Rodney Cua Deang, PT
• Deangelis Counseling Services LLC
• Mario Andres Defelice, RDMS

• General Practice Dentistry in Evansville, IN
• Providers in Evansville, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.