Healthcare Provider Details

I. General information

NPI: 1437542081
Provider Name (Legal Business Name): ZACHARY C. GELBER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2015
Last Update Date: 09/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 SE 2ND ST
BELLE GLADE FL
33430
US

IV. Provider business mailing address

427 SE 2ND ST
BELLE GLADE FL
33430-3511
US

V. Phone/Fax

Practice location:
  • Phone: 561-996-6006
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number059724-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number12295
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDN21764
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: