Provider Demographics
NPI:1700936184
Name:GABANY, JOSEPH A (DMD, MSD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:A
Last Name:GABANY
Suffix:
Gender:M
Credentials:DMD, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 STOCKTON ST # 600
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-5305
Mailing Address - Country:US
Mailing Address - Phone:415-392-2086
Mailing Address - Fax:
Practice Address - Street 1:260 STOCKTON ST # 600
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-5305
Practice Address - Country:US
Practice Address - Phone:415-392-2086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA445881223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics