Provider Demographics
NPI:1154374379
Name:GILBERT, DEAN A (DDS)
Entity type:Individual
Prefix:DR
First Name:DEAN
Middle Name:A
Last Name:GILBERT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31559 W 10 MILE RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48336-2503
Mailing Address - Country:US
Mailing Address - Phone:248-478-3275
Mailing Address - Fax:248-478-6289
Practice Address - Street 1:31559 W 10 MILE RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MI
Practice Address - Zip Code:48336-2503
Practice Address - Country:US
Practice Address - Phone:248-478-3275
Practice Address - Fax:248-478-6289
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI122991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice