Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GABRIEL ERNEST VIDA, DDS
Active Sole ProprietorGABRIEL ERNEST VIDA, DDS is a Dentist healthcare provider located in CHICAGO, Illinois. NPI 1053567156 is currently active in the NPPES registry. Verify at CMS.
Dentist · CHICAGO, IL
Registration Details
- NPI Number
- 1053567156
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 8, 2008 (18.016346025879 yrs)
- Last Updated
- Nov 30, 2009
- License
-
019020849 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3855 W NORTH AVECHICAGO, IL, 606474640Browse IL providers · Browse ZIP 60647
- Phone
- 7737828900
- Fax
- 7737820577
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| MARK SAWYER | DDS | 1891798708 |
| DR. DAVID MICHAEL PREBLE | DDS | 1013910637 |
| DR. WILLIAM JOSEPH FRERICKS | DDS | 1427050608 |
| DR. KENNETH A KREBS | D.M.D. | 1629070743 |
| DR. DIMITRI J. HARALAMPOPOULOS | DDS | 1144221219 |
| NANCY LEE GOODARE-ROSENTHAL | DDS, MS | 1316935232 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.