Provider Demographics
NPI:1952610305
Name:ORIBELLO, BRIAN JOSEPH (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRIAN JOSEPH
Middle Name:
Last Name:ORIBELLO
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 1:1605 S OKLAHOMA AVE
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-7801
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:805 N CAGE BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-3102
Practice Address - Country:US
Practice Address - Phone:956-283-7919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX260001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice