NPI 1083458293 · live from the CMS NPI Registry
Kaitria Brielle Abbatematteo, D.M.D.
Dentist in Gainesville, FL. National Provider Identifier 1083458293, active.
NPI record
| NPI | 1083458293 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 1395 Center Dr Rm D1-40, Gainesville, FL 32610 |
| Practice phone | 352-273-7643 |
| Mailing address | 2337 Sw Archer Rd Apt 1003, Gainesville, FL 32608 |
| Enumerated | June 21, 2024 |
| Last updated | June 21, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | DRPM2762 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.