Individual
DR. ANTHONY T DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
945 LANE AVE S, JACKSONVILLE, FL 32205-4706
(904) 781-4011
(904) 781-1726
Mailing address
7458 FLEMING ISLAND DR, GREEN COVE SPRINGS, FL 32043-9338
(904) 284-3766
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 11435
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085024
UNITED CONCORDIA PROVIDER
FL
01
—
67912
BCBS/FLCOMBLIFE PROVIDER
FL
Enumeration date
10/10/2006
Last updated
07/08/2007
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