Organization Active NPI

Gallagher Cosmetic &Family Dentistry, PA

  • General Practice Dentistry
  • Eden Prairie, MN
National Provider Identifier
1841353992
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GALLAGHER COSMETIC &FAMILY DENTISTRY, PA
Practice address
11800 Singletree LN
Suite 208
Eden Prairie, MN 55344-5328
Phone
(952) 942-9600
Fax
(952) 942-3371
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael J Gallagher, DDSNPI 1023179181
Title
Owner
Phone
(952) 942-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X MN Primary

Addresses

Primary practice location

11800 Singletree LN
Suite 208
Eden Prairie, MN 55344-5328

Mailing address

11800 Singletree LN
Suite 208
Eden Prairie, MN 55344-5328
Phone (952) 942-9600

National Provider Directory

National Provider Directory

Locations

11800 Singletree Ln
Ste 208
Eden Prairie, MN 55344
Phone (952) 942-9600

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841353992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 SINGLETREE LN",
            "address_2": "SUITE 208",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445328",
            "telephone_number": "952-942-9600",
            "fax_number": "952-942-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 SINGLETREE LN",
            "address_2": "SUITE 208",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445328",
            "telephone_number": "952-942-9600",
            "fax_number": "952-942-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLAGHER COSMETIC &FAMILY DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-942-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • 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.