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
Fax: (850) 479-5809
Website:

Health care specialties

SpecialtyCodeLicense #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 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922023563 NPPES
Florida MEDICAID 071631600
Florida MEDICAID 009973460

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