Healthcare Provider Details

I. General information

NPI: 1083222954
Provider Name (Legal Business Name): GABRIELA MARIA PARRA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2020
Last Update Date: 08/30/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1960 S CLINTON AVE
ROCHESTER NY
14618-5620
US

IV. Provider business mailing address

1772 CRITTENDEN RD APT 6
ROCHESTER NY
14623-1428
US

V. Phone/Fax

Practice location:
  • Phone: 585-461-4459
  • Fax:
Mailing address:
  • Phone: 845-706-1197
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number64753
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: