Active NPI
Lori Gallon
- Dental Hygienist
- East Hartford, CT
National Provider Identifier
1144630948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 007380
- Practice address
- 763 Burnside Ave
East Hartford, CT 06108-2791 - Phone
- (860) 291-9728
- Fax
- (860) 291-9728
- NPI assigned
- May 1, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 007380 | CT | Primary |
Addresses
Primary practice location
763 Burnside Ave
East Hartford, CT 06108-2791
Mailing address
43 Cheney LN
Newington, CT 06111-3112
Phone (860) 667-4425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007380 | CT | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398902400000",
"number": "1144630948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 CHENEY LN",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061113112",
"telephone_number": "860-667-4425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "763 BURNSIDE AVE",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061082791",
"telephone_number": "860-291-9728",
"fax_number": "860-291-9728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLON",
"first_name": "LORI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-01",
"last_updated": "2014-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CT",
"license": "007380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.