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NPI Code Detail

MEDICARE: DR. GABRIELLE TORGERSON DDS

MEDICARE:  DR. GABRIELLE  TORGERSON  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
1122300000XDentistPD0012AZ
2122300000XDentistD010875AZ
3122300000XDentist26461FL

General Provider Information

NPI Number : 1679182307
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GABRIELLE TORGERSON DDS
Provider Business Mailing Address
First Line : 357 SE 6TH ST
Second Line :
City : DANIA BEACH
State : FL
Zip : 33004-4722
Country : US
Telephone Number : 314-498-0044
Fax Number :
Provider Business Practice Location Address
First Line : 4045 N SAINT PETERS PKWY STE 200
Second Line :
City : SAINT PETERS
State : MO
Zip : 63304-7398
Country : US
Telephone Number : 636-441-3466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2020
Last Update Date : 02/26/2024

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Directions to “ DR. GABRIELLE TORGERSON DDS” Practice Location

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