Individual
DR. DEAN A PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 W TEMPLE AVE STE 2500, EFFINGHAM, IL 62401-2121
(217) 540-2350
Mailing address
3000 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803-3831
(803) 642-0277
(803) 641-4277
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
21914
SC
208200000X
Plastic Surgery Physician
Primary
036157974
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219142
—
SC
01
—
571096050
FEDERAL TAX ID
SC
Enumeration date
03/14/2006
Last updated
12/28/2021
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