Gallucci Dental, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GALLUCCI DENTAL, LLC

Practice address

24 E Main St
Marlton, NJ 08053-2157

Phone

(856) 983-0546

Fax

(856) 596-3093

NPI assigned

Feb 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Lisa N Gallucci, DMDNPI 1700928801

Title

Dentist/Owner

Phone

(856) 983-0546

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa N Gallucci, D.M.D.

  • General Practice Dentistry
  • Marlton, NJ
  • NPI 1700928801

  Durable Medical Equipment & Medical Supplies

  NPD Authorized official

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1669911475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 E MAIN ST",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532157",
            "telephone_number": "856-983-0546",
            "fax_number": "856-596-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 E MAIN ST",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532157",
            "telephone_number": "856-983-0546",
            "fax_number": "856-596-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLUCCI DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "GALLUCCI",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "856-983-0546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Galasso
• Louis Anthony Galasso, D.C.
• Gianna Galeno
• Luke Gallagher, PT, DPT
• Jonathan Galli, M.D.
• Lisa N Gallucci, D.M.D.
• Julianne Gamino, BSN, RN
• Zindadil Manoj Gandhi, M.D.
• Gary Michael Gans, D.MIN.
• Devon Elizabeth Ganter, M.D.

• Dentist in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.