Provider Demographics
NPI:1538823828
Name:N DEAN DENTAL LLC
Entity type:Organization
Organization Name:N DEAN DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:918-852-4854
Mailing Address - Street 1:867 N DEAN RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-9419
Mailing Address - Country:US
Mailing Address - Phone:334-887-6111
Mailing Address - Fax:
Practice Address - Street 1:867 N DEAN RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-9419
Practice Address - Country:US
Practice Address - Phone:334-887-6111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-24
Last Update Date:2021-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1285717934OtherKIM PETERS NPI
AL1003485483OtherBRANDON ALBRITTON NPI
AL1487183117OtherJOSH MATHIS NPI