Healthcare Provider Details

I. General information

NPI: 1962197384
Provider Name (Legal Business Name): GABRIEL SHAY FRENCH DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2023
Last Update Date: 07/15/2024
Certification Date: 06/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VCUHS DEPT OF ORAL AND MAXILLOFACIAL SURGERY 1250 E. MARSHALL STREET
RICHMOND VA
23298-0566
US

IV. Provider business mailing address

GME ADMIN 1200 EAST BROAD ST, PO BOX 980257
RICHMOND VA
23298
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-0602
  • Fax:
Mailing address:
  • Phone: 814-828-0602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number0442000488
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: