Provider Demographics
NPI:1003292285
Name:SHVETS, GABRIEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:
Last Name:SHVETS
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 1:250 CONGRESS PARK DR
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-4630
Mailing Address - Country:US
Mailing Address - Phone:347-224-5301
Mailing Address - Fax:
Practice Address - Street 1:250 CONGRESS PARK DR
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-4630
Practice Address - Country:US
Practice Address - Phone:347-224-5301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-10
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02613700122300000X
FLDN21909122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist