Individual
DR. DEAN M DELUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
520 N 12TH ST, RICHMOND, VA 23298-5064
(804) 628-6637
(804) 827-1040
Mailing address
521 N 11TH ST RM 311, RICHMOND, VA 23298-5016
(518) 441-1265
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401413275
VA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
0401413275
VA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
0438000293
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00711564
—
NY
01
—
190009682
RAILROAD MEDICARE
NY
Enumeration date
10/23/2006
Last updated
02/01/2026
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