Individual
DR. KEVIN JAMES DEAKYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS PC
Contact information
Practice address
470 BENNETT DR., SUITE A, WARREN, IN 46792-0307
(260) 375-2626
(260) 375-2629
Mailing address
470 BENNETT DR., SUITE A BOX 307, WARREN, IN 46792-0307
(260) 375-2626
(260) 375-2629
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12008898
IN
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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