Provider Demographics
NPI:1962197384
Name:FRENCH, GABRIEL SHAY (DMD)
Entity type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:SHAY
Last Name:FRENCH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:GME ADMIN
Mailing Address - Street 2:1200 EAST BROAD ST, PO BOX 980257
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298
Mailing Address - Country:US
Mailing Address - Phone:814-828-0602
Mailing Address - Fax:
Practice Address - Street 1:VCUHS DEPT OF ORAL AND MAXILLOFACIAL SURGERY
Practice Address - Street 2:1250 E. MARSHALL STREET
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-0566
Practice Address - Country:US
Practice Address - Phone:804-828-0602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-11
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA04420004881223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery