Provider Demographics
NPI:1972546364
Name:DEY, DENNIS DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:DANIEL
Last Name:DEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1602
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21501-1602
Mailing Address - Country:US
Mailing Address - Phone:240-362-7025
Mailing Address - Fax:240-362-7571
Practice Address - Street 1:921 SETON DR
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-1852
Practice Address - Country:US
Practice Address - Phone:240-522-0098
Practice Address - Fax:240-522-0099
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0062211207LP2900X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810001392OtherWVMA
630051OtherAETNA
MD406553100Medicaid
MD999023200Medicaid
MD21D2142057OtherCLIA
MDDL77OtherCAREFIRST
MD643072OtherBCBS
MD7155603OtherAETNA
WV3810001392OtherWVMA
MD3128023OtherMAMSI
MD2460141OtherUNITED HEALTH CARE
KN96R410Medicare PIN