Gallo Michels Koryurek Prof Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31040 Issued in CA

Legal business name

GALLO MICHELS KORYUREK PROF DENTAL CORP

Doing business as

Hillcrest Family Dental

Practice address

3330 3Rd Ave Ste 400
San Diego, CA 92103-5639

Phone

(619) 291-8750

Fax

(619) 291-7536

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Nicole Reid

Title

Regional Manager

Phone

(619) 261-1670

Specialties & licenses 1

Addresses

Other names 1

• Hillcrest Family Dental Doing business as

Locations

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356552335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 3RD AVE STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035639",
            "telephone_number": "619-291-8750",
            "fax_number": "619-291-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 3RD AVE STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035639",
            "telephone_number": "619-291-8750",
            "fax_number": "619-291-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLO MICHELS KORYUREK PROF DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "619-261-1670"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillcrest Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Lee Galleguillos, IDC
• Erin Ann Gallent, M.D., PH.D.
• Megan Galligan, BCBA, PHD
• Kriston Gallipeau
• Tara Gallison, BCABA
• Gallo Michels Professional Dental Corp
• Andrea Gallo Palafox, RN
• Ana-Maria Gallo
• Christopher Gallo, PA
• Dominic Gallo

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.