# DR. LISA DEAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1972667137
- **Gender:** F
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401418621 | VA | Yes |
| 1223G0001X | General Practice Dentistry | 6890 | KY | — |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 06/06/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2436288,9962 | — | OH |
| 05 | — | 60068905 | — | KY |