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NPI Code Detail

MEDICARE: GABRIELLE ANN D'AMATO

MEDICARE: GABRIELLE ANN D'AMATO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist14746NC
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1417646910
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLE ANN D'AMATO
Provider Business Mailing Address
First Line : 1851 MACGREGOR DOWNS RD
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-5925
Country : US
Telephone Number : 252-737-7000
Fax Number :
Provider Business Practice Location Address
First Line : 1851 MACGREGOR DOWNS RD
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-5925
Country : US
Telephone Number : 252-737-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2023
Last Update Date : 06/25/2026

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Directions to “ GABRIELLE ANN D'AMATO ” Practice Location

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