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Individual

DR. ETHAN WESLEY DEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
620 CHEROKEE ST NE STE 300, MARIETTA, GA 30060-7233
(770) 635-1812
(770) 485-2883
Mailing address
620 CHEROKEE ST NE STE 300, MARIETTA, GA 30060-7233
(770) 635-1812
(770) 485-2883

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
89800
GA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
89800
GA

Other

Enumeration date
03/31/2014
Last updated
10/31/2025
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