Provider Demographics
NPI:1558926832
Name:EDELMANN, GABRIELLE KRISTINE (DMD)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:KRISTINE
Last Name:EDELMANN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 W INDIANTOWN RD STE 106
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-6830
Mailing Address - Country:US
Mailing Address - Phone:561-747-7111
Mailing Address - Fax:
Practice Address - Street 1:1001 W INDIANTOWN RD PREMIER DENTISTRY OF JUPITER
Practice Address - Street 2:#106
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458
Practice Address - Country:US
Practice Address - Phone:561-747-7111
Practice Address - Fax:561-747-8826
Is Sole Proprietor?:No
Enumeration Date:2019-05-02
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN24583122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist