Provider Demographics
NPI:1003831827
Name:DEMPSEY, DAVID W (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:W
Last Name:DEMPSEY
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 1:10733 MAPLE CREEK DR
Mailing Address - Street 2:SUITE # 102
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-4422
Mailing Address - Country:US
Mailing Address - Phone:727-372-0550
Mailing Address - Fax:727-372-4669
Practice Address - Street 1:10733 MAPLE CREEK DR
Practice Address - Street 2:SUITE # 102
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-4422
Practice Address - Country:US
Practice Address - Phone:727-372-0550
Practice Address - Fax:727-372-4669
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL67611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice