MEDICARE: DEAN RETAIL SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366371841
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEAN RETAIL SERVICES, INC.

Provider Business Mailing Address
First Line	:	960 VALLEY RD
Second Line	:	SUITE 100
City	:	VERONA
State	:	WI
Zip	:	53593-7962
Country	:	US
Telephone Number	:	608-260-1320
Fax Number	:	608-260-1315

Provider Business Practice Location Address
First Line	:	960 VALLEY RD
Second Line	:	SUITE 100
City	:	VERONA
State	:	WI
Zip	:	53593-7962
Country	:	US
Telephone Number	:	608-260-1320
Fax Number	:	608-260-1315

Authorized Official
Title or Position	:	VP FINANCE, CFO
Name	:	AMY JO GRINNELL
Credential	:
Telephone Number	:	608-260-3586

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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Directions to “DEAN RETAIL SERVICES, INC. ” Practice Location

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