Creighton F Gallagher, D.D.S.
Individual provider Active NPI General Practice Dentistry · Grandview, MO
NPI 1104147404 · NPPES record last updated Jun 21, 2010
Key facts
- NPI
- 1104147404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2010018006 (MO)
- Practice address
- 13051 S US Highway 71
Grandview, MO 64030-2525 - Phone
- (816) 966-9450
- NPI assigned
- Jun 21, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010018006 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emily Katherine Handley, DDS, PC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2010018006 | MO | Yes |
Addresses
Primary practice location
13051 S US Highway 71
Grandview, MO 64030-2525
Mailing address
10810 W 140TH Ter
Overland Park, KS 66221-8085
Other providers in Grandview, MO
- Tara Ann Foster
- Four B Corp
- Four B Corp
- Michelle R Franey
- Kris Jay Fucanan
- David Joseph Geidl
- Alexandra Jackson Getch
- Zhanna Ghukasyan
- Ashley Gibson
- Ravinder S. Gill
All providers in Grandview, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2010. 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.