Provider Demographics
NPI:1982685970
Name:HUTTO, DEAN VINSON (DDS)
Entity type:Individual
Prefix:DR
First Name:DEAN
Middle Name:VINSON
Last Name:HUTTO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3306
Mailing Address - Country:US
Mailing Address - Phone:281-422-8248
Mailing Address - Fax:281-428-8084
Practice Address - Street 1:3800 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3306
Practice Address - Country:US
Practice Address - Phone:281-422-8248
Practice Address - Fax:281-428-8084
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX169121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice