Individual provider Active NPI

Galen Giaccone Cullen, D.D.S.

  • General Practice Dentistry
  • Milton, DE
National Provider Identifier
1457747362
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
G1-0001376 Issued in DE
Practice address
524 Union St
Milton, DE 19968-1016
Phone
(302) 684-1100
NPI assigned
Apr 8, 2015
Last updated
Feb 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X G1-0001376 DE
General Practice Dentistry 1223G0001X G1-0001376 DE Primary

Addresses

Primary practice location

524 Union St
Milton, DE 19968-1016

Mailing address

524 Union St
Milton, DE 19968-1016
Phone (302) 684-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150701000991 DE Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4284946427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G1-0001376DEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mercer Dental Associates Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1457747362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 UNION ST",
            "city": "MILTON",
            "state": "DE",
            "postal_code": "199681016",
            "telephone_number": "302-684-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 UNION ST",
            "city": "MILTON",
            "state": "DE",
            "postal_code": "199681016",
            "telephone_number": "302-684-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "GALEN",
        "middle_name": "GIACCONE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-08",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G1-0001376",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0001376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, DE

Sources for this page

Verify at the official NPI Registry.