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General NPI Number Information
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NPI Number | 1477017796
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Entity Type | Organization
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Legal Business Name | JON P DEAN DDS INC
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Dates
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Enumeration Date | 01/31/2019
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Last Update Date | 01/31/2019
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Provider Practice Location Address
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Address Line | 920 CASS ST STE 100
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City | MONTEREY
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State | CA
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Zip | 93940-4507
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Country | US
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Telephone | 831-373-1377
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Fax | 831-372-0463
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Provider Business Mailing Address
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Address Line | 920 CASS ST STE 100
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City | MONTEREY
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State | CA
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Zip | 93940-4507
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Country | US
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Telephone | 831-373-1377
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Fax | 831-372-0463
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Authorized Official
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Title or Position | OWNER
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Name | JON P DEAN
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Credential | DDS
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Telephone | 831-373-1377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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