Provider Demographics
NPI:1336217322
Name:DEAN, DAVID BOYD (MD)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:BOYD
Last Name:DEAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:101 W UNIVERSITY ST
Mailing Address - Street 2:PO BOX 160
Mailing Address - City:SILOAM SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72761-2663
Mailing Address - Country:US
Mailing Address - Phone:918-326-4983
Mailing Address - Fax:918-326-4983
Practice Address - Street 1:4153 N CROSSOVER RD
Practice Address - Street 2:.YOUTH BRIDGE, INC.
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-4591
Practice Address - Country:US
Practice Address - Phone:479-521-1532
Practice Address - Fax:479-521-1532
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
OK178202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK14116OtherOBNDD
OK14116OtherOBNDD