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Contact Information

MARION A DEAN JR
2069 SMITHVILLE HIGHWAY
MCMINNVILLE, TN37110
 Phone: 931-473-7844
 Fax: 931-473-6844
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MARION A DEAN JR · (Male)

NPI # 1760406011
Status Active
Credentials
Entity Individual
Enumeration date 07/27/2006
Last updated 10/15/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # OD530
  • TN Medicaid 3942749
  • Other 9429243 CIGNA
  • Other 410024590 PALMETTO RR MEDICARE
  • Other OT41773 UNITED HEALTHCARE
  • TN Other 3010167 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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