Provider Demographics
NPI:1356309355
Name:BEY, GARRY L (DDS)
Entity Type:Individual
Prefix:DR
First Name:GARRY
Middle Name:L
Last Name:BEY
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 1:300 N MIDDLETOWN RD
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-1296
Mailing Address - Country:US
Mailing Address - Phone:845-623-1919
Mailing Address - Fax:845-623-7784
Practice Address - Street 1:300 N MIDDLETOWN RD
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-1296
Practice Address - Country:US
Practice Address - Phone:845-623-1919
Practice Address - Fax:845-623-7784
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY345851223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics