Provider Demographics
NPI:1417357377
Name:RON G DEAN, DMD, INC.
Entity type:Organization
Organization Name:RON G DEAN, DMD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RON
Authorized Official - Middle Name:G
Authorized Official - Last Name:DEAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:937-548-5051
Mailing Address - Street 1:444 BUR OAK DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45331-4352
Mailing Address - Country:US
Mailing Address - Phone:937-548-5051
Mailing Address - Fax:937-548-8443
Practice Address - Street 1:444 BUR OAK DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:OH
Practice Address - Zip Code:45331-4352
Practice Address - Country:US
Practice Address - Phone:937-548-5051
Practice Address - Fax:937-548-8443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-28
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.021271261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental