Provider Demographics
NPI:1437991718
Name:GALANTE, GABRIEL GREGORY (DDS)
Entity type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:GREGORY
Last Name:GALANTE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1795 BIMINI LN UNIT B4
Mailing Address - Street 2:
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86403-4798
Mailing Address - Country:US
Mailing Address - Phone:920-226-1255
Mailing Address - Fax:
Practice Address - Street 1:2872 JAMAICA BLVD S
Practice Address - Street 2:
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86406-7707
Practice Address - Country:US
Practice Address - Phone:928-733-6199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0121811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice