Dr Lisa Dean, DMD | |
1592 Diederich Blvd, Russell, KY 41169-1676 | |
(606) 836-9962 | |
(606) 836-4668 |
Full Name | Dr Lisa Dean |
---|---|
Gender | Female |
Speciality | Dentist - General Practice |
Location | 1592 Diederich Blvd, Russell, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972667137 | NPI | - | NPPES |
2436288,9962 | Medicaid | OH | |
60068905 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 0401418621 (Virginia) | Primary |
1223G0001X | Dentist - General Practice | 6890 (Kentucky) | Secondary |
Entity Name | Ironton & Lawrence County Area Community Action Organization |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093022287 PECOS PAC ID: 8820902497 Enrollment ID: O20031118000239 |
Entity Name | Hopewell Health Centers Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699010348 PECOS PAC ID: 9234049990 Enrollment ID: O20110209000712 |
Entity Name | Ironton & Lawrence County Area Community Action Organization |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912254574 PECOS PAC ID: 8820902497 Enrollment ID: O20130404000170 |
Mailing Address | Practice Location Address |
---|---|
Dr Lisa Dean, DMD 1592 Diederich Blvd, Russell, KY 41169-1676 Ph: (606) 836-9962 | Dr Lisa Dean, DMD 1592 Diederich Blvd, Russell, KY 41169-1676 Ph: (606) 836-9962 |
Deanna Binion Tatterson, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1409 Diederich Blvd, Russell, KY 41169 Phone: 606-836-0510 | |
Dr. Jennifer Baronis Hughes, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 972 Diederich Blvd, Russell, KY 41169 Phone: 606-833-5437 Fax: 606-833-0036 | |
Dr. Elmer H Mullins Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1452 Diederich Blvd, Russell, KY 41169 Phone: 606-836-6022 Fax: 606-836-6008 |