Provider Demographics
NPI:1275719361
Name:TURNER, DEAN MONTGOMERY (MD)
Entity Type:Individual
Prefix:
First Name:DEAN
Middle Name:MONTGOMERY
Last Name:TURNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 19TH STREET
Mailing Address - Street 2:SUITE 401
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37916-1839
Mailing Address - Country:US
Mailing Address - Phone:865-541-1975
Mailing Address - Fax:865-541-1976
Practice Address - Street 1:501 19TH ST.
Practice Address - Street 2:SUITE 401
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916-1839
Practice Address - Country:US
Practice Address - Phone:865-541-1975
Practice Address - Fax:865-541-1976
Is Sole Proprietor?:No
Enumeration Date:2008-01-18
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD015993207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3059293Medicaid
TN4232414OtherBCBS
TN30592931Medicare PIN
TNE82288Medicare UPIN