Pasquale J Gallelli DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS024316L Issued in PA

Legal business name

PASQUALE J GALLELLI DMD PC

Practice address

1815 So Broad Street
Philadelphia, PA 19148

Phone

(215) 462-6229

Fax

(215) 467-9080

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Pasquale J Gallelli, DMD PC

Title

Owner Dentist

Phone

(215) 462-6229

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811007776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 SO BROAD STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19148",
            "telephone_number": "215-462-6229",
            "fax_number": "215-467-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 SO BROAD STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19148",
            "telephone_number": "215-462-6229",
            "fax_number": "215-467-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASQUALE J GALLELLI DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALLELLI",
        "authorized_official_first_name": "PASQUALE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "215-462-6229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD PC"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS024316L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ervida Pasho
• Cana Edward Pasierb, D.D.S.
• Karolina Pasierb, OD
• Michael Jason Pasirstein, M.D.
• David L. Paskin, MD
• Ann Pasquale, CRNP
• Carol Ann Pasquariello, M.D.
• John Anthony Pasquella, D.O.
• Susan Pasquini, MPT
• Michael Jonathan Passage, BCBA

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.