Candace Gallowitz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11633 Issued in TN

Practice address

107 Imperial Blvd Ste 1
Hendersonville, TN 37075-3492

Phone

(615) 822-0833

Fax

(615) 590-7943

NPI assigned

Jun 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Hendersonville Imperial Dental Care

  • General Practice Dentistry
  • Hendersonville, TN
  • NPI 1003486267
  NPD
• Smiles by Samantha

  • General Practice Dentistry
  • Lebanon, TN
  • NPI 1942850466
  NPD (past)

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1194395558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 IMPERIAL BLVD STE 1",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753492",
            "telephone_number": "615-822-0833",
            "fax_number": "615-590-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 IMPERIAL BLVD STE 1",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753492",
            "telephone_number": "615-822-0833",
            "fax_number": "615-590-7943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "727 W Main St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370873406",
            "country_code": "US",
            "telephone_number": "615-444-7180",
            "fax_number": "615-444-7189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLOWITZ",
        "first_name": "CANDACE",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "11633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.imperialdentalcare.com",
            "affiliation": "N",
            "address_1": "107 Imperial Blvd Ste 1",
            "city": "Hendersonville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370753492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Krystal Lyn Gaines
• Braiden Galbreath
• Brandon Galgoul
• Gallatin Womens Center, P.C.
• Kristi Galletti, LPC-MHSP
• Jennifer Terry Galyon, FNP-C
• Sofia Gandolf
• Mallory Harless Gann, PHYSICIAN ASSISTANT
• Jason Eugene Gant, DPT
• Clarissa Gantt, DPT

• General Practice Dentistry in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.