MARK ALAN DEAN (NPI# 1952899973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952899973 |
Entity Type | Individual |
Full Name | MARK ALAN DEAN |
Practice Address |
2861 Broad Ave Memphis TN 38112-2903 |
Mailing Address |
10955 Wurzbach Rd Apt 102 San Antonio TX 78230-2537 |
Practice Telephone | 9017012520 |
Enumeration Date | 2018-04-25 |
Last Update Date | 2019-06-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
10811 | TN | Dental Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144840224 | Mark Thomas Dean | Student in an Organized Health Care Education/Training Program | S: 625 19th Street South Birmingham Al 35249, Birmingham, AL 35249-0001 | 2020-04-20 |
1285121004 | Mark L Dean | Psychologist | 1100 Glenlake Way, Louisville, KY 40245-5222 | 2018-04-17 |
1689884926 | Mark Dean | Counselor | 42 Windermere Ave, Lansdowne, PA 19050-1812 | 2007-05-23 |
1265441083 | Mark H Dean | Pain Medicine | 630 Peter Jefferson Pkwy Ste 170, Charlottesville, VA 22911-4624 | 2006-08-08 |
1164491718 | Mark Tracy Dean | Optometrist | 4886 Socastee Blvd, Myrtle Beach, SC 29588-7245 | 2006-03-16 |
1023096542 | Mark Steven Dean | Chiropractor | 2125 E Main St, Suite 4, Siloam Springs, AR 72761-5571 | 2006-01-04 |
1346891587 | Mark Tuolee Dean | Case Manager/Care Coordinator | 445 E Dublin Granville Rd, Worthington, OH 43085-3192 | 2019-09-27 |
1992275697 | Mark Christian Dean | Rehabilitation Practitioner | 3650 N Rancho Dr Ste 104, Las Vegas, NV 89130-3151 | 2018-11-26 |
1639345275 | Mark R. Dean | Dentist | 430 W Erie St, Suite 200, Chicago, IL 60610-6914 | 2008-05-04 |
1588751044 | Mark D. Dean | Dentist | 12380 W 64th Ave, Arvada, CO 80004-4016 | 2006-10-06 |
Street Address |
2861 BROAD AVE |
City | MEMPHIS |
State | TN |
Zip Code | 38112-2903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932157260 | Brent Michael Snader | Internal Medicine | 2861 Broad Ave, Memphis, TN 38112-2903 | 2006-05-05 |
1013531276 | Anqi Zheng | Student in an Organized Health Care Education/Training Program | 2861 Broad Ave, Memphis, TN 38112-2903 | 2020-06-03 |
1730732645 | Joy Adina Steorts | Social Worker | 2861 Broad Ave, Memphis, TN 38112-2903 | 2019-07-19 |
1750879599 | Scott Chandler Stewart | Dentist | 2861 Broad Ave, Memphis, TN 38112-2903 | 2018-04-26 |
1144609108 | Justine Rachel Johnson | Obstetrics & Gynecology | 2861 Broad Ave, Memphis, TN 38112-2903 | 2015-05-23 |
1629482419 | Benjamin Jones | Family Medicine | 2861 Broad Ave, Memphis, TN 38112-2903 | 2014-06-19 |
1245659309 | Brandon Todd | Internal Medicine | 2861 Broad Ave, Memphis, TN 38112-2903 | 2014-04-15 |
1972888352 | Heather Anne Stone | Nurse Practitioner | 2861 Broad Ave, Memphis, TN 38112-2903 | 2011-10-17 |
1659651487 | Jesse David Malott | Counselor | 2861 Broad Ave, Memphis, TN 38112-2903 | 2011-08-24 |
1982916896 | Audrey B.r. Vanwylen | Family Medicine | 2861 Broad Ave, Memphis, TN 38112-2903 | 2010-07-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316427602 | Chs Tennessee Medical P C | Clinic/Center | 2680 Pershing Ave, Memphis, TN 38112 | 2018-08-16 |
1457688798 | Ethan Martin Langston | Counselor | 2714 Union Extended, Suite 400, Memphis, TN 38112 | 2009-11-06 |
1033345756 | Marquita Lachelle Little | Counselor | 2714 Union Avenue Extension, Suite 400, Memphis, TN 38112 | 2009-06-09 |
1366689481 | Open Hand Trans | Non-emergency Medical Transport (VAN) | 2600 Poplar Avenue 325, Memphis, TN 38112 | 2009-01-12 |
1952562696 | Christ Community Health Services Inc | Clinic/Center | 2861 Broad Avenue, Christ Community Health Services,inc, Memphis, TN 38112 | 2008-06-24 |
1013117225 | Yolanda Anthony-west | Dentist | 1045 Mullins Station Road, Memphis, TN 38112 | 2007-07-25 |
1083754634 | Trillium Womancare LLC | Advanced Practice Midwife | 2610 Autumn Avenue, Memphis, TN 38112 | 2007-02-06 |
1013066596 | Health Tech Affiliates | Counselor | 2670 Union Extended, Suite 610, Memphis, TN 38112 | 2007-01-10 |
1730238320 | James Matthew Doyle | Counselor | 2670 Union Extd Suite 610, Concern Eap, Memphis, TN 38112 | 2007-01-10 |
1619025087 | Nancy Whitman Manire | Social Worker | 2670 Union Ext, Suite 610, Memphis, TN 38112 | 2007-01-08 |
Find all providers in zip 38112 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497361596 | Crosstown Dental Group Highland Row LLC | Dentist | 431 S Highland St Ste 115, Memphis, TN 38111-1633 | 2020-09-23 |
1922626019 | Randy Bagay | Dentist | 1350 Concourse Ave Ste 446, Memphis, TN 38104-2026 | 2020-07-06 |
1780200279 | Taylor Rae Vracar | Dentist | 875 Union Ave Ste 301, Memphis, TN 38103-3513 | 2020-06-19 |
1063982957 | Jasmine Copelanddds | Dentist | 1251 Wesley Dr Ste 130, Memphis, TN 38116-6443 | 2018-12-04 |
1770075681 | Bellano East Memphis, Pllc | Dentist | 5336 Estate Office Dr Ste 1, Memphis, TN 38119-3623 | 2018-06-06 |
1992200364 | Lauren Alyssia Henderson | Dentist | 5180 Park Ave Ste 210, Memphis, TN 38119-3530 | 2018-03-28 |
1598123986 | James F Proctor Dds Pa | Dentist | 1655 International Drive, Suite 203, Memphis, TN 38120-1436 | 2016-02-01 |
1497140008 | Tennessee Dental Professionals PC | Dentist | 6425 N Quail Hollow Rd Ste 102, Memphis, TN 38120-1438 | 2015-03-31 |
1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
1457793929 | Acadia Helath LLC | Dentist | 1000 Ridgeway Loop Rd, Suite 203, Memphis, TN 38120-4045 | 2013-07-24 |
Find all providers in MEMPHIS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.