Gorgeos Smile Dental

Primary specialty

DentistTaxonomy code 122300000X

License

053195 Issued in NY

Legal business name

GORGEOS SMILE DENTAL

Practice address

871 E Tremont Ave
Bronx, NY 10460-4207

Phone

(718) 299-5900

NPI assigned

Mar 4, 2008

Organization subpart

No

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

Authorized official

Name

Kristina Gabrilyants, DDS

Title

Dentist

Phone

(718) 299-5900

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1548430788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604207",
            "telephone_number": "718-299-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604207",
            "telephone_number": "718-299-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORGEOS SMILE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "GABRILYANTS",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-299-5900",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "053195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02832882",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Gordon, LCSW
• Vania Gordon
• Denise Sherleen Gordzica
• Nasir Y. Gore, B. PHARM
• Patricia Ann Gore, PT
• Enid Goris, DPM
• Silvio Goris, M.D
• Janet U. Gorkin, M.D.
• Joshua Raphael Gorlick, MD
• Mary Pat Gorman-Barry, LCSW-R

• Dentist in Bronx, NY
• Providers in Bronx, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.