FIDELITO GABRIEL DMD PC (NPI# 1790016368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790016368 |
| Entity Type | Organization |
| Organization Name | FIDELITO GABRIEL DMD PC |
| Other Organization Name | FOREST HILLS DENTAL |
| Practice Address |
3724 Washington St Jamaica Plain MA 02130-3701 |
| Mailing Address |
5 Annapolis Rd Milton MA 02186-2507 |
| Practice Telephone | 6175227414 |
| Practice Fax Number | 6175221425 |
| Mailing Telephone | 6175227414 |
| Mailing Fax Number | 6175221425 |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-01-21 |
| Authorized Official Name | DR. FIDELITO GABRIEL (PRESIDENT) |
| Authorized Official Telephone | 6177639351 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
21464 | MA | Dental Providers |
| Other Name | Type Code |
|---|---|
| FOREST HILLS DENTAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376797241 | Fidelito Gabriel Dmd PC | Dentist | 1815 Dorchester Ave, Dorchester Center, MA 02124-2551 | 2008-11-05 |
| Street Address |
3724 WASHINGTON ST |
| City | JAMAICA PLAIN |
| State | MA |
| Zip Code | 02130-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
| 1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
| 1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
| 1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
| 1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
| Find all providers in zip 02130 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023495348 | Nikhilesh Rao Gorukanti | Dentist | 594 Centre St Apt 1, Jamaica Plain, MA 02130-2560 | 2015-05-06 |
| 1114266947 | Wonwoo Jang | Dentist | 161 S.huntington Ave Apt #419, Jamaica Plain, MA 02130 | 2013-02-14 |
| 1316173297 | Aliakbar Esmaeili | Dentist | 315 Centre St, Jamaica Plain, MA 02130-1414 | 2009-06-05 |
| 1720230618 | Centre Street Dental Care | Dentist | 379a Centre St, Jamaica Plain, MA 02130-1241 | 2008-10-22 |
| 1376705178 | Centre Street Family Dental PC | Dentist | 729 Centre St, Jamaica Plain, MA 02130-2520 | 2008-07-02 |
| 1073664819 | Jp Family Dental PC | Dentist | 315 Centre St Ste 3, Jamaica Plain, MA 02130-1414 | 2007-01-16 |
| 1558428441 | Narendra B Dixit | Dentist | 38 Haverford Street, Jamaica Plain, MA 02130 | 2007-01-02 |
| 1265526297 | Maya Muthuswamy | Dentist | 612 Centre St, Jamaica Plain, MA 02130-2552 | 2006-10-03 |
| 1437147501 | Joseph A Nelson II | Dentist | 3531 Washington St Ste 102, Jamaica Plain, MA 02130-5241 | 2005-10-12 |
| 1053805796 | Kieran Mullarney | Dentist | 594 Centre St, Jamaica Plain, MA 02130-2574 | 2018-06-16 |
| Find all providers in JAMAICA PLAIN | ||||
| City | JAMAICA PLAIN |
| Zip Code | 02130 |
Please comment or provide details below to improve the information on FIDELITO GABRIEL DMD PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.