Gal Hershko, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

16131 Issued in MD

Practice address

11810 W Market PL Ste 202
Fulton, MD 20759-2703

Phone

(667) 678-3940

NPI assigned

May 13, 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

Practice roles

Locations

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.

• Fulton Pediatric Dental

  • Pediatric Dentistry
  • Fulton, MD
  • NPI 1295487155
  NPD Authorized official

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1184060600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 WESTSIDE BLVD",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592587",
            "telephone_number": "410-726-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11810 W MARKET PL STE 202",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592703",
            "telephone_number": "667-678-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSHKO",
        "first_name": "GAL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "16131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Hayleck
• Martia Hayward
• Iisha Henderson
• Tatiana Henry
• Angel Hernandez
• Courtnella Hill
• Evelyn Grace Ho, M.A., SLP
• Michelle Leborys Hockstra, NP
• Holy Cross Anesthesiology Associate PA
• Celeste Joyce Homan, L.AC.

• Pediatric Dentistry in Fulton, MD
• Providers in Fulton, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.