Healthcare Provider Details

I. General information

NPI: 1093078537
Provider Name (Legal Business Name): DUSTIN JAMES DEAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2012
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 ARLINGTON AVE STOP 1088
TOLEDO OH
43614-2595
US

IV. Provider business mailing address

3000 ARLINGTON AVE STOP 1108
TOLEDO OH
43614-2598
US

V. Phone/Fax

Practice location:
  • Phone: 419-383-6383
  • Fax: 419-383-3357
Mailing address:
  • Phone: 419-383-5023
  • Fax: 419-383-6235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD171952
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number35.123173
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: