Individual
DR. JEFFREY A DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
7830 ROCKVILLE RD, INDIANAPOLIS, IN 46214-3129
(317) 271-9727
(317) 273-2373
Mailing address
5040 POTTERS PIKE, INDIANAPOLIS, IN 46234-2943
(317) 292-9863
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12008253B
IN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
12008253B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100087220
—
IN
Enumeration date
06/27/2006
Last updated
02/20/2013
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