Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theodore James Dean, PASTUDENT

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689567828

Theodore James Dean, PASTUDENT is a Student in an Organized Health Care Education/Training Program in Eden Prairie, Minnesota. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

6612 Golden Ridge Dr
Eden Prairie, MN 55344-3201
Phone: (952) 807-7262
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1689567828
Entity typeIndividual (Type 1)
GenderMale
Credentials PASTUDENT
Sole proprietorNo
NPI enumeratedMay 29, 2025
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025

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