Galloway Dental, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GALLOWAY DENTAL, PC

Practice address

66 Galloway Rd
Warwick, NY 10990-1719

Phone

(845) 986-8846

Fax

(845) 986-0925

NPI assigned

Dec 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edwin Orup Wiley, DMD

Title

Ceo

Phone

(845) 986-8846

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1851576581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 GALLOWAY RD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901719",
            "telephone_number": "845-986-8846",
            "fax_number": "845-986-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 GALLOWAY RD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901719",
            "telephone_number": "845-986-8846",
            "fax_number": "845-986-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLOWAY DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "ORUP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-986-8846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Agbo D/B/a Ampa Coach Ambuette
• Gerard Martin Freisinger, M.D.
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• Fysioplusondemand
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• Emily Rose Gerbehy, ATC

• General Practice Dentistry in Warwick, NY
• Providers in Warwick, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.