Provider Demographics
NPI:1932264421
Name:DEANS, JODI CHRISTINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JODI
Middle Name:CHRISTINE
Last Name:DEANS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 WOOD ST
Mailing Address - Street 2:
Mailing Address - City:MAHOPAC
Mailing Address - State:NY
Mailing Address - Zip Code:10541-5114
Mailing Address - Country:US
Mailing Address - Phone:914-243-2323
Mailing Address - Fax:914-243-3019
Practice Address - Street 1:171 WOOD ST
Practice Address - Street 2:
Practice Address - City:MAHOPAC
Practice Address - State:NY
Practice Address - Zip Code:10541-5114
Practice Address - Country:US
Practice Address - Phone:914-243-2323
Practice Address - Fax:914-243-3019
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY04840111223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics