Provider Demographics
NPI:1023703824
Name:GUTIERREZ, GABRIELLE ANDREA (DDS)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:ANDREA
Last Name:GUTIERREZ
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 1:9 CAREY AVE
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:NJ
Mailing Address - Zip Code:07405-1225
Mailing Address - Country:US
Mailing Address - Phone:973-838-1477
Mailing Address - Fax:
Practice Address - Street 1:9 CAREY AVE
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:NJ
Practice Address - Zip Code:07405-1225
Practice Address - Country:US
Practice Address - Phone:973-838-1477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-07
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY064055122300000X
NJ22DI03114200122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist