Active NPI
Tessa Susan Gallick, D.M.D.
- Dentist
- Hillsborough, NJ
National Provider Identifier
1730452319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02492700
- Practice address
- 760 US Highway 206
Suite 2
Hillsborough, NJ 08844-1538 - Phone
- (207) 576-3354
- Fax
- (908) 359-4557
- NPI assigned
- Feb 14, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02492700 | NJ | Primary |
Addresses
Primary practice location
760 US Highway 206
Suite 2
Hillsborough, NJ 08844-1538
Mailing address
760 US Highway 206
Suite 2
Hillsborough, NJ 08844-1538
Phone (207) 576-3354
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02492700 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dan C Pullen DDS PA | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329177600000",
"number": "1730452319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 US HIGHWAY 206",
"address_2": "SUITE 2",
"city": "HILLSBOROUGH",
"state": "NJ",
"postal_code": "088441538",
"telephone_number": "207-576-3354",
"fax_number": "908-359-4557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 US HIGHWAY 206",
"address_2": "SUITE 2",
"city": "HILLSBOROUGH",
"state": "NJ",
"postal_code": "088441538",
"telephone_number": "207-576-3354",
"fax_number": "908-359-4557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLICK",
"first_name": "TESSA",
"middle_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-14",
"last_updated": "2012-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02492700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsborough, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.