Provider Demographics
NPI:1922348663
Name:GAY, DENISE CATHLEEN (DDS,MDS)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:CATHLEEN
Last Name:GAY
Suffix:
Gender:F
Credentials:DDS,MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 8TH ST S
Mailing Address - Street 2:SUITE A
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-6111
Mailing Address - Country:US
Mailing Address - Phone:239-261-1401
Mailing Address - Fax:
Practice Address - Street 1:77 8TH ST S
Practice Address - Street 2:SUITE A
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-6111
Practice Address - Country:US
Practice Address - Phone:239-261-1401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-17
Last Update Date:2013-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN16552122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist