Organization Active NPI

Stephen W. Dean, D.M.D.

  • General Practice Dentistry
  • Covington, GA
National Provider Identifier
1790103141
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10886 Issued in GA
Legal business name
STEPHEN W. DEAN, D.M.D.
Doing business as
Covington Cosmetic Dentistry
Practice address
4106 Mill St NE
Suite B
Covington, GA 30014-2539
Phone
(770) 786-3915
Fax
(770) 786-7863
NPI assigned
Apr 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Dr. Stephen Wesley Dean, D.M.D.NPI 1164646022
Title
Dentist
Phone
(770) 786-3915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 10886 GA Primary

Addresses

Primary practice location

4106 Mill St NE
Suite B
Covington, GA 30014-2539

Mailing address

PO Box 1826
Covington, GA 30015-1826
Phone (770) 786-3915

Other names 1

  • Covington Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4106 Mill St NE
#B
Covington, GA 30014
Phone (770) 786-3915

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1790103141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1826",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300151826",
            "telephone_number": "770-786-3915",
            "fax_number": "770-786-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 MILL ST NE",
            "address_2": "SUITE B",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142539",
            "telephone_number": "770-786-3915",
            "fax_number": "770-786-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN W. DEAN, D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "770-786-3915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "10886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covington Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.