Provider Demographics
NPI:1376609842
Name:KLETO, DEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DEAN
Middle Name:
Last Name:KLETO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:9123 CROSS PARK DR
Mailing Address - Street 2:SUITE #100
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4552
Mailing Address - Country:US
Mailing Address - Phone:865-524-2442
Mailing Address - Fax:865-637-0776
Practice Address - Street 1:9123 CROSS PARK DR
Practice Address - Street 2:SUITE #100
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4552
Practice Address - Country:US
Practice Address - Phone:865-524-2442
Practice Address - Fax:865-637-0776
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TN12990MD208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNB58968Medicare UPIN