Dr Kenneth R Gallion a Professional Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

39405 Issued in CA

Legal business name

DR KENNETH R GALLION A PROFESSIONAL DENTAL CORP

Doing business as

Southwest Dental

Practice address

68820 Ramon Rd
Cathedral City, CA 92234

Phone

(760) 770-0236

Fax

(760) 770-9758

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Kenneth R Gallion, DDS

Title

Dentist Owner President

Phone

(760) 770-0236

Specialties & licenses 1

Addresses

Other names 1

• Southwest Dental Doing business as

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134201361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68820 RAMON RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "92234",
            "telephone_number": "760-770-0236",
            "fax_number": "760-770-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68820 RAMON RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "92234",
            "telephone_number": "760-770-0236",
            "fax_number": "760-770-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KENNETH R GALLION A PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALLION",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST OWNER PRESIDENT",
        "authorized_official_telephone_number": "760-770-0236",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "39405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lois Doi, LCSW
• Dolores Dialysis LLC (Cathedral City Dialysis)
• Dolores Homecare Inc
• Susan Esther Domenech, MPT
• Dong Jin Kim, DDS, Inc (Pure Dental)
• Dr Ramsey Katan, O.D.
• Dr. Robert Ohrling, Inc.
• Dual Diagnosis Treatment Center, Inc. (Sovereign Health of California)
• Diane E. Ducatte
• Joseph Wayne Dunn, PH.D.

• Dental Clinic/Center in Cathedral City, CA
• Providers in Cathedral City, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.