Provider Demographics
NPI:1538355359
Name:DEAN-BEY, GINA DENISE (DDS)
Entity type:Individual
Prefix:DR
First Name:GINA
Middle Name:DENISE
Last Name:DEAN-BEY
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 1:1900 NEBRASKA AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34950-4837
Mailing Address - Country:US
Mailing Address - Phone:772-595-1888
Mailing Address - Fax:772-464-2901
Practice Address - Street 1:1900 NEBRASKA AVE STE 6
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950-4837
Practice Address - Country:US
Practice Address - Phone:772-595-1888
Practice Address - Fax:772-464-2901
Is Sole Proprietor?:No
Enumeration Date:2007-09-16
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN000112431223G0001X
NY0369061223G0001X
NJDI159521223G0001X
VA04010079961223G0001X
OH1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice