Galena Family Dental, P.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GALENA FAMILY DENTAL, P.C.

Practice address

202 Summit St
Galena, IL 61036-1636

Phone

(815) 777-2338

Fax

(815) 777-2338

NPI assigned

Jul 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Anna M Miller, D.M.D.

Title

Dentist Owner of Corporation

Phone

(563) 556-3468

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1194132886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 SUMMIT ST",
            "city": "GALENA",
            "state": "IL",
            "postal_code": "610361636",
            "telephone_number": "815-777-2338",
            "fax_number": "815-777-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 SUMMIT ST",
            "city": "GALENA",
            "state": "IL",
            "postal_code": "610361636",
            "telephone_number": "815-777-2338",
            "fax_number": "815-777-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALENA FAMILY DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST OWNER OF CORPORATION",
        "authorized_official_telephone_number": "563-556-3468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Galena, IL
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.