Provider Demographics
NPI:1568432946
Name:HORVATH, GABRIELLA (DDS)
Entity Type:Individual
Prefix:DR
First Name:GABRIELLA
Middle Name:
Last Name:HORVATH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1647 ADMIRAL TAUSSIG BLVD
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23511-2803
Mailing Address - Country:US
Mailing Address - Phone:757-314-6609
Mailing Address - Fax:757-314-6598
Practice Address - Street 1:160 MAIN ROAD
Practice Address - Street 2:BLDG 1806
Practice Address - City:LACKEY
Practice Address - State:VA
Practice Address - Zip Code:26391-0090
Practice Address - Country:US
Practice Address - Phone:757-953-8417
Practice Address - Fax:757-953-8449
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010076361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice