Sarah Jean Galloy, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

3507-16 Issued in WI

Practice address

128 Old Abe Road
Lac Du Flambeau, WI 54538-0128

Phone

(715) 588-4280

Fax

(715) 588-2480

NPI assigned

Oct 3, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lac Du Flambeau Band of Lake Superior Chippewa Indians

  dba Peter Christensen Dental Clinic

  • Dental Clinic/Center
  • Lac Du Flambeau, WI
  • NPI 1427347426
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1073940136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 OLD ABE ROAD",
            "address_2": "PO BOX 128",
            "city": "LAC DU FLAMBEAU",
            "state": "WI",
            "postal_code": "545380128",
            "telephone_number": "715-588-4280",
            "fax_number": "715-588-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 OLD ABE ROAD",
            "city": "LAC DU FLAMBEAU",
            "state": "WI",
            "postal_code": "545380128",
            "telephone_number": "715-588-4280",
            "fax_number": "715-588-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOY",
        "first_name": "SARAH",
        "middle_name": "JEAN",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "3507-16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather J Fortin, R.D.,C.D.,C.S.C.S.
• DJ Foster, DDS
• Regina Rae Fox, LPC, CSAC
• Kimberly Lynn Fricke
• Andrew Friedley
• Angela Marie Godard, RN, BSN
• Melvyn Golden, D.D.S.
• Jill Ann Graf, RDH
• Anthony A. Groothoff, SAC-IT
• Gary Louis Gusmerotti

• Dental Hygienist in Lac Du Flambeau, WI
• Providers in Lac Du Flambeau, WI by specialty
• Dental Hygienist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.