Provider Demographics
NPI:1932317559
Name:FRITZ, GABRIEL (DDS)
Entity Type:Individual
Prefix:
First Name:GABRIEL
Middle Name:
Last Name:FRITZ
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 1:2081 SHEPHERDS VINEYARD DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-6410
Mailing Address - Country:US
Mailing Address - Phone:919-387-3388
Mailing Address - Fax:919-387-0070
Practice Address - Street 1:2081 SHEPHERDS VINEYARD DR
Practice Address - Street 2:SUITE 100
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-6410
Practice Address - Country:US
Practice Address - Phone:919-387-3388
Practice Address - Fax:919-387-0070
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC87131223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery