Dean, Jeffrey S
Dean, Jeffrey S is an individual health care provider with primary practice located at 301 Oak Tree Ln , Dakota Dunes SD 57049. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Dean, Jeffrey S can be contacted via phone (605) 242-0107.Contact Information
Primary practice address
301 Oak Tree Ln
Dakota Dunes SD 57049
Phone: (605) 242-0107
Fax: (605) 242-0145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 09007 | Iowa |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D1013 | South Dakota |
Profile Details
| NPI number | 1073687711 |
|---|---|
| LBN Legal business name | Dean, Jeffrey S |
| Credentials | D.D.S., M.D., FACS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Aug 9th, 2018 - about 6 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 | 1073687711 | NPPES |
| Iowa | Other | 1548304710 | BC/BS OF IA |
| Iowa | Other | 1548304710 | BC/BS OF IA |
| Iowa | MEDICAID | 1548304710 | BC/BS OF IA |
| Iowa | MEDICAID | 91201365400 | BC/BS OF IA |
| Iowa | MEDICAID | 1548304710 | BC/BS OF IA |
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