Healthcare Provider Details

I. General information

NPI: 1891969051
Provider Name (Legal Business Name): GABRIEL C. GARBER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2008
Last Update Date: 04/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 RIVER RD
EWING NJ
08628-3347
US

IV. Provider business mailing address

2200 STACKHOUSE DR
YARDLEY PA
19067-1838
US

V. Phone/Fax

Practice location:
  • Phone: 609-883-3636
  • Fax:
Mailing address:
  • Phone: 215-493-2247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number22DI00715400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: