Provider Demographics
NPI:1922209345
Name:GALE, JOEL C (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:C
Last Name:GALE
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 1:18851 NE 29TH AVE
Mailing Address - Street 2:# 301
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2808
Mailing Address - Country:US
Mailing Address - Phone:305-682-1414
Mailing Address - Fax:305-682-1411
Practice Address - Street 1:18851 NE 29TH AVE
Practice Address - Street 2:# 301
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2808
Practice Address - Country:US
Practice Address - Phone:305-682-1414
Practice Address - Fax:305-682-1411
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL137441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice