Provider Demographics
NPI:1235682105
Name:DG DENTAL PALM BEACH PLLC
Entity Type:Organization
Organization Name:DG DENTAL PALM BEACH PLLC
Other - Org Name:BUDGET DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GABER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:561-318-8810
Mailing Address - Street 1:5200 10TH AVE N
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-2051
Mailing Address - Country:US
Mailing Address - Phone:561-318-8810
Mailing Address - Fax:561-653-1206
Practice Address - Street 1:5200 10TH AVE N
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-2051
Practice Address - Country:US
Practice Address - Phone:561-318-8810
Practice Address - Fax:561-653-1206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-27
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN200911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty