Healthcare Provider Details

I. General information

NPI: 1336062454
Provider Name (Legal Business Name): GABRIELA TONET BASSANI BARTELLE DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15996 NEW INDEPENDENCE PKWY STE 110
WINTER GARDEN FL
34787-8152
US

IV. Provider business mailing address

11252 HOLLOW BAY DR
WINTER GARDEN FL
34787-8269
US

V. Phone/Fax

Practice location:
  • Phone: 689-260-6610
  • Fax:
Mailing address:
  • Phone: 954-621-8574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN32414
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: