Individual
STEVEN K DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1057 BROAD ST, JESSAMINE MALL, SUMTER, SC 29150-2567
(803) 775-7877
(803) 934-0547
Mailing address
1057 BROAD ST, JESSAMINE MALL, SUMTER, SC 29150-2567
(803) 775-7877
(803) 934-0547
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1137
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D11379
—
SC
Enumeration date
01/09/2006
Last updated
12/03/2007
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