Edward Matthew Galida, DDS

Individual provider Active NPI General Practice Dentistry · Bellville, OH

NPI 1700944311 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1700944311
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
30021423 (OH)
Practice address
741 Mill Rd
Bellville, OH 44813-1280
Phone
(419) 886-0200
Fax
(410) 886-4495
NPI assigned
Dec 5, 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

LicenseStateTypeSpecialty
30021423OHMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30021423 OH Yes

Addresses

Primary practice location

741 Mill Rd
Bellville, OH 44813-1280

Mailing address

741 Mill Rd
Bellville, OH 44813-1280
Phone (419) 886-0200

Other identifiers

IdentifierTypeStateIssuer
1513327OtherOHID FOR UNITED CONCORDIA

Other providers in Bellville, OH

All providers in Bellville, OH · General Practice Dentistry in Ohio

Sources for this page

Verify at the official NPI Registry.