| 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 |