Fidelito Gabriel DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21464 Issued in MA

Legal business name

FIDELITO GABRIEL DMD PC

Practice address

1815 Dorchester Ave
Dorchester Center, MA 02124-2551

Phone

(617) 522-7414

Fax

(617) 522-1425

NPI assigned

Nov 5, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Fidelito Gabriel, D.M.D.NPI 1619919909

Title

President

Phone

(617) 763-9351

Specialties & licenses 1

Addresses

Tax ID family

Fidelito Gabriel DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fidelito Gabriel DMD PC

  • General Practice Dentistry
  • Jamaica Plain, MA
  • NPI 1790016368
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fidelito Gabriel, DMD

  • General Practice Dentistry
  • Brockton, MA
  • NPI 1619919909
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1376797241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ANNAPOLIS RD",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021862507",
            "telephone_number": "161-776-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 DORCHESTER AVE",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021242551",
            "telephone_number": "617-522-7414",
            "fax_number": "617-522-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITO GABRIEL DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "FIDELITO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "16177639351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Dupuy, D.C.
• James Egan
• A James Epstein, MD
• Eye Health Services, Inc.
• Morteza Morey Farizan, M.D.
• Comfort Fombu
• Jeffrey J. Fong, PHARM.D.
• Angela Marie Fonseca, LADCI CAS
• Evgenia Forman, M.D.
• Cynthia Francis

• General Practice Dentistry in Dorchester Center, MA
• Providers in Dorchester Center, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.