James Patrick Gagliardi, D.D.S.
Individual provider Active NPI General Practice Dentistry · Fircrest, WA
NPI 1043281165 · NPPES record last updated May 13, 2013
Key facts
- NPI
- 1043281165
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DE00005122 (WA)
- Practice address
- 1033 Regents Blvd
Suite 201
Fircrest, WA 98466-6045 - Phone
- (253) 564-2570
- Fax
- (253) 564-2652
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00005122 | WA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE00005122 | WA | Yes |
Addresses
Primary practice location
1033 Regents Blvd
Suite 201
Fircrest, WA 98466-6045
Mailing address
1033 Regents Blvd
Suite 201
Fircrest, WA 98466-6045
Phone (253) 564-2570
Other providers in Fircrest, WA
- Fircrest Children'S Dentistry
- Fircrest Family Dental
- Fircrest Family Medicine, PLLC
- Fircrest Pharmacy
- Silvia Tina Fradkin
- Spencer David Garlick
- Grit City Chiropractic, PLLC
- Benjamin Randolph Grover
- Kimberley Louise Gruening McNickle
- Adriana Haberlach
All providers in Fircrest, WA · General Practice Dentistry in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.