Provider Demographics
NPI:1982700472
Name:WHITE, DEAN K (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:DEAN
Middle Name:K
Last Name:WHITE
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Gender:M
Credentials:DDS, MSD
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Mailing Address - Street 1:800 ROSE ST
Mailing Address - Street 2:UK ORAL PATHOLOGY LAB, UKMC RM. MN 530
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0297
Mailing Address - Country:US
Mailing Address - Phone:859-323-5515
Mailing Address - Fax:859-323-2525
Practice Address - Street 1:800 ROSE ST
Practice Address - Street 2:UK ORAL PATHOLOGY LAB, UKMC RM. MN 530
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0297
Practice Address - Country:US
Practice Address - Phone:859-323-5515
Practice Address - Fax:859-323-2525
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2010-02-22
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Provider Licenses
StateLicense IDTaxonomies
KY49241223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0037857Medicare PIN
KYU45441Medicare UPIN