Deluke, Dean M

Deluke, Dean M is an individual health care provider with primary practice located at 520 N 12Th St , Richmond VA 23298-5064. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Deluke, Dean M can be contacted via phone (804) 628-6637.

Contact Information

Primary practice address
520 N 12Th St Richmond VA 23298-5064
Phone: (804) 628-6637
Fax: (804) 827-1040
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 0401413275 Virginia
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 0438000293 Virginia
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 0401413275 Virginia

Profile Details

NPI number 1023191038
LBN Legal business name Deluke, Dean M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Sep 23rd, 2019 - about 5 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 1023191038 NPPES
New York MEDICAID 00711564
New York Other 190009682

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