Fulton Pediatric Dental

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

FULTON PEDIATRIC DENTAL

Practice address

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

Phone

(410) 988-4647

Fax

(410) 696-4927

NPI assigned

Jan 21, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Gal Hershko, DDSNPI 1184060600

Title

Owner

Phone

(410) 988-4647

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gal Hershko, D.D.S.

  • Pediatric Dentistry
  • Fulton, MD
  • NPI 1184060600
  NPD Authorized official

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1295487155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11810 W MARKET PL STE 202",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592703",
            "telephone_number": "410-988-4647",
            "fax_number": "410-696-4927"
        },
        {
            "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": "410-988-4647",
            "fax_number": "410-696-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON PEDIATRIC DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "HERSHKO",
        "authorized_official_first_name": "GAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-988-4647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adelia Fontes
• Ford Wellness Training & Consulting, LLC
• Jade Fox
• Gayle Friedman, MD
• London Fullerton
• Brandon Funderburke, PHARM D
• Seema Aliasgar Gadiwalla, M.D.
• Keivan Gazy
• Emiliya Gebru
• Aleksander Gee

• 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 Aug 31, 2026; 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.