Provider Demographics
NPI:1629550488
Name:GABER, DEAN (DDS)
Entity Type:Individual
Prefix:
First Name:DEAN
Middle Name:
Last Name:GABER
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 1:5200 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
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN200911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty