Provider Demographics
NPI:1235732751
Name:GORFINKEL, ADAM GABRIEL (DMD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:GABRIEL
Last Name:GORFINKEL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 N PINE ISLAND RD STE 101
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1836
Mailing Address - Country:US
Mailing Address - Phone:954-473-6500
Mailing Address - Fax:
Practice Address - Street 1:111 N PINE ISLAND RD STE 101
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1836
Practice Address - Country:US
Practice Address - Phone:954-473-6500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN25049122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist