Provider Demographics
NPI:1598841496
Name:GINA MARCUS, DMD, PA
Entity Type:Organization
Organization Name:GINA MARCUS, DMD, PA
Other - Org Name:INFINITY DENTAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DR./OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCUS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-446-6655
Mailing Address - Street 1:2600 S DOUGLAS RD STE 906
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6142
Mailing Address - Country:US
Mailing Address - Phone:305-998-2970
Mailing Address - Fax:305-374-5551
Practice Address - Street 1:2600 S DOUGLAS RD STE 906
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-6142
Practice Address - Country:US
Practice Address - Phone:305-998-2970
Practice Address - Fax:305-374-5551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL163881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty