Provider Demographics
NPI:1952191363
Name:RAMIREZ, GABRIELLE ANN (DMD)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:ANN
Last Name:RAMIREZ
Suffix:
Gender:
Credentials:DMD
Other - Prefix:DR
Other - First Name:GABRIELLE
Other - Middle Name:ANN
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:430 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:EDWARDSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62025-1465
Mailing Address - Country:US
Mailing Address - Phone:618-830-0786
Mailing Address - Fax:
Practice Address - Street 1:301 FISHER ST
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39534-2508
Practice Address - Country:US
Practice Address - Phone:618-830-0786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program