Individual
KEVIN C. DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
4850 N 9TH AVE STE 4, PENSACOLA, FL 32503-2406
(850) 477-1125
(850) 479-5809
Mailing address
4850 N 9TH AVE STE 4, PENSACOLA, FL 32503-2406
(850) 477-1125
(850) 479-5809
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
4835
AL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN0012675
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009973460
—
AL
05
—
071631600
—
FL
Enumeration date
07/13/2006
Last updated
11/15/2011
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