Gregory R Abate, DDS
Individual provider Active NPI General Practice Dentistry · San Jose, CA
NPI 1215069901 · NPPES record last updated Dec 13, 2022
Key facts
- NPI
- 1215069901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 33716 (CA)
- Practice address
- 2075 Forest Ave
Suite #3
San Jose, CA 95128 - Phone
- (408) 292-1654
- Fax
- (408) 292-7913
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33716 | CA | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 33716 | CA | Yes |
Addresses
Primary practice location
2075 Forest Ave
Suite #3
San Jose, CA 95128
Mailing address
2075 Forest Ave
Suite #3
San Jose, CA 95128
Phone (408) 292-1654
Other providers in San Jose, CA
- Mariam Samir Abadir
- Abalos-Galito Medical Service
- Marietta Florence Abalos-Galito
- Vanessa Abarca
- Rhia Ramos Abarquez
- Leah Abaye
- Aasef Abbasi Alaei
- Maha Abbasi
- Sanaz Abbasialaei
- Khurram Abbass
All providers in San Jose, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.