GWENDOLYN T DEAN M.D.
NPI 1629028386
Specialist in Fayetteville, GA

Active since May 11, 2006
115 SUMNER RD, FAYETTEVILLE, GA 30214(678) 477-6904 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gwendolyn T Dean M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWENDOLYN T DEAN M.D. (NPI 1629028386) is an individual specialist in Fayetteville, Georgia, licensed in Georgia (28526) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1629028386
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameGWENDOLYN T DEANCredential: M.D.
Location Address115 SUMNER RDFayetteville, GA 30214-4758
Mailing AddressPo Box 56158Atlanta, GA 30343-0158 · (404) 307-9575
Sole ProprietorYes
Enumeration DateMay 11, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1629028386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in GA · 28526
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
115 SUMNER RD, Fayetteville, GA 30214

Other Identifiers 3

Medicaid00297349ALGA
Medicare UPIND32807GA
Medicare ID-Type Unspecified37BBGZKGA

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
115 SUMNER RD
FAYETTEVILLE, GA 30214
Pediatrics (Adolescent Medicine)
115 SUMNER RD, SUITE D
FAYETTEVILLE, GA 30214
Durable Medical Equipment & Medical Supplies
115 SUMNER RD
FAYETTEVILLE, GA 30214
Physical Therapist
115 SUMNER RD
FAYETTEVILLE, GA 30214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwendolyn Dean's NPI number?

The NPI number for Gwendolyn Dean is 1629028386. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Gwendolyn Dean located?

Gwendolyn Dean practices at 115 Sumner Rd, Fayetteville, GA 30214. The listed phone number is (678) 477-6904.

What is Gwendolyn Dean's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Gwendolyn Dean was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.