Gallo Dental Care, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN013677 Issued in GA

Legal business name

GALLO DENTAL CARE, LLC

Practice address

950 Washington St
Suite J
Gainesville, GA 30501-3542

Phone

(770) 534-6933

Fax

(770) 535-7882

NPI assigned

Nov 3, 2008

Last updated

Nov 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lia P. Urrego, D.D.SNPI 1154590123

Title

President

Phone

(770) 534-6933

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, and the practitioner matching its NPPES authorized official.

• Lia P Urrego, DDS

  • General Practice Dentistry
  • Gainesville, GA
  • NPI 1154590123
  NPD (past) Authorized official

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1457504573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 WASHINGTON ST",
            "address_2": "SUITE J",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013542",
            "telephone_number": "770-534-6933",
            "fax_number": "770-535-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 WASHINGTON ST",
            "address_2": "SUITE J",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013542",
            "telephone_number": "770-534-6933",
            "fax_number": "770-535-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLO DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "URREGO",
        "authorized_official_first_name": "LIA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-534-6933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN013677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Jarvis Gaither
• Maria Gabriela Galarza, RD,LD
• Wendy K Galek, P.A.
• Vijaya Lakshmi Galic, M.D.
• Kell Darren Gallaher, DMD
• Gabriela Sarahi Galvez, RBT
• Elizabeth Gama, OTR/L
• Alok Gambhir, M.D.
• Haylee Shaye Gamble, OT
• Paul Emerson Gannon, D.M.D.

• Dental Clinic/Center in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.