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Dr. Lisa Dean, DMD
General Practice Dentistry in Russell, Kentucky
NPI 1972667137

Lisa Dean is a General Practice Dentistry based in Russell, KY and is specialized in General Practice. Lisa Dean practices in Russell, KY and has the professional credentials of DMD. The NPI Number for Lisa Dean is 1972667137 and holds a License No. 0401418621 (Kentucky).

The current practice location address for Lisa Dean is 1592 Diederich Blvd, Russell, KY and can be reached out via phone at 606-836-9962 and via fax at 606-836-4668.

Location: 1592 Diederich Blvd, Russell, KY, 41169-1676
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972667137
Provider Name
Lisa Dean
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1592 Diederich Blvd, Russell, KY, 41169-1676
Phone Number
606-836-9962
Fax Number
606-836-4668
Provider Enumeration Date
12/21/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2436288,9962 05 OH
60068905 05 KY
institution
Provider Business Practice Location Address Details
Address
1592 Diederich Blvd
City
Russell
State
Kentucky
Zip
41169-1676
Phone Number
606-836-9962
Fax Number
606-836-4668
person
Provider Business Mailing Address Details
Address
1592 Diederich Blvd
City
Russell
State
Kentucky
Zip
41169-1676
Phone Number
606-836-9962
Fax Number
606-836-4668
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
0401418621 (Virginia)
Definition
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.
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