Lauren Ashely Gallant, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN4568 Issued in ME

Practice address

190 Park Ave
Portland, ME 04102-2910

Phone

(207) 874-1028

NPI assigned

Jun 15, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1982134532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 KENNARD ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922317",
            "telephone_number": "207-756-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 PARK AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022910",
            "telephone_number": "207-874-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLANT",
        "first_name": "LAUREN",
        "middle_name": "ASHELY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN4568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleigh Madison Gale
• John Gallagher, D.C.
• Kristin Gallagher, PA-C
• Stacey Lee Gallagher, DPT
• Francesca Maria Gallant, CADC
• James W Gallea, MD
• Jordan Gallo, M.D.
• Suzanne Perdue Gallo, LCSW
• Michael J Galluzi
• Aislynn Katie-Jean Galuski, MSPT

• General Practice Dentistry in Portland, ME
• Providers in Portland, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.