Gallagher Ventures

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GALLAGHER VENTURES

Practice address

6605 N 19TH Ave
Suite D
Phoenix, AZ 85015-1628

Phone

(602) 997-5096

Fax

(602) 944-4380

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Carol Gallagher

Title

Owner

Phone

(602) 997-5096

Specialties & licenses 1

Addresses

Other names 1

• Dental World of Arizona Doing business as

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417020868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6605 N 19TH AVE",
            "address_2": "SUITE D",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151628",
            "telephone_number": "602-997-5096",
            "fax_number": "602-944-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 N 19TH AVE",
            "address_2": "SUITE D",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151628",
            "telephone_number": "602-997-5096",
            "fax_number": "602-944-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLAGHER VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-997-5096"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental World of Arizona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Marie Galetta, RN
• Abduba Elias Galgalo
• Mario Galicia Maldonado
• Susan A Galicia
• Luis Fernando Galindo, PA
• Anna Lea Gallagher, CPNP-AC
• Bridget Grace Gallagher, MD
• Emily Elizabeth Gallagher, ATC, LAT
• Fallon Dree Gallagher, CRNA
• Maribeth T Gallagher, MS, RN, PMHNP-BC

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• 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.