John H Gallien, D.D.S.
Individual provider Active NPI Dentist · Savannah, TN
NPI 1487733317 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487733317
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- D.S. 1337 (TN)
- Practice address
- 165 College St
Savannah, TN 38372-2078 - Phone
- (731) 925-4971
- Fax
- (731) 925-5303
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D.S. 1337 | TN | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D.S. 1337 | TN | Yes |
Addresses
Primary practice location
165 College St
Savannah, TN 38372-2078
Mailing address
165 College St
P.O. Box 280
Savannah, TN 38372-2078
Phone (731) 925-4971
Other providers in Savannah, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.