Gaeta Dental Health Professionals, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GAETA DENTAL HEALTH PROFESSIONALS, PA

Doing business as

Gaeta Dental - Venice

Practice address

609 Tamiami TRL S
Venice, FL 34285-3237

Phone

(941) 480-1087

Fax

(941) 480-1916

NPI assigned

Dec 11, 2007

Organization subpart

Yes

Parent organization

GAETA DENTAL HEALTH PROFESSIONALS, PAAs reported in NPPES

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

Authorized official

Name

Amy Kroeger

Title

Ins Coord

Phone

(217) 540-5100

Specialties & licenses 1

Addresses

Other names 1

• Gaeta Dental - Venice Doing business as

Part of

Gaeta Dental Health Professionals PA

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Gaeta Dental Health Professionals

  • General Practice Dentistry
  • Venice, FL
  • NPI 1619083003
  NPPES parent name

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1437332616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 TAMIAMI TRL S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342853237",
            "telephone_number": "941-480-1087",
            "fax_number": "941-480-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 TAMIAMI TRL S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342853237",
            "telephone_number": "941-480-1087",
            "fax_number": "941-480-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAETA DENTAL HEALTH PROFESSIONALS, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GAETA DENTAL HEALTH PROFESSIONALS, PA",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "KROEGER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "INS COORD",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gaeta Dental - Venice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony John Fus Jr., PT
• FWC Urogynecology, LLC
• Sheref Gadalla, DMD
• Nikhil Gadgil
• Gaeta Dental Health Professionals
• F Nicholas Gahhos, M.D.
• Kacey Gaitan
• Olesia P Galanesi
• Kathleen Galica, D.P.T.
• Michael R Gallina, DPM

• General Practice Dentistry in Venice, FL
• Providers in Venice, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.