Healthcare Provider Details

I. General information

NPI: 1972546364
Provider Name (Legal Business Name): DENNIS DANIEL DEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 12/10/2020
Certification Date: 12/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 SETON DR
CUMBERLAND MD
21502-1852
US

IV. Provider business mailing address

PO BOX 1602
CUMBERLAND MD
21501-1602
US

V. Phone/Fax

Practice location:
  • Phone: 240-522-0098
  • Fax: 240-522-0099
Mailing address:
  • Phone: 240-362-7025
  • Fax: 240-362-7571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberD0062211
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberD0062211
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: