Organization
JOHN DEAN DDS PA
Active
Parent organization
JOHN DEAN DDS PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHN DEAN DDS PA
Authorized official
DR. JOHN HAMILTON DEAN DDS (DENTIST)
(501) 771-2911
Entity
Organization
Contact information
Practice address
2524 CRESTWOOD RD STE 2, NORTH LITTLE ROCK, AR 72116-7648
(501) 771-2911
(501) 758-2078
Mailing address
2524 CRESTWOOD RD STE 2, NORTH LITTLE ROCK, AR 72116-7648
(501) 771-2911
(501) 758-2078
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
3118
AR
Other
Enumeration date
10/20/2014
Last updated
09/06/2023
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