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NPI Code Detail

MEDICARE: DR. GABRIEL MICHAEL MILITELLO DDS

MEDICARE: DR. GABRIEL MICHAEL MILITELLO DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry30.028316OH

General Provider Information

NPI Number : 1386492676
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GABRIEL MICHAEL MILITELLO DDS
Provider Business Mailing Address
First Line : 1320 MERCY DR NW
Second Line :
City : CANTON
State : OH
Zip : 44708-2614
Country : US
Telephone Number : 330-471-5950
Fax Number :
Provider Business Practice Location Address
First Line : 1320 MERCY DR NW
Second Line :
City : CANTON
State : OH
Zip : 44708-2614
Country : US
Telephone Number : 330-489-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2024
Last Update Date : 06/05/2026

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Directions to “ DR. GABRIEL MICHAEL MILITELLO DDS” Practice Location

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