National Provider Identifier

Joseph L Gallo

Joseph L Gallo is listed in the NPPES registry with a primary specialty of Dentist in Orchard Park, NY and a listed phone number of (716) 662-3600.

NPI 1013032226Orchard Park, NYDentist

Profile Overview

NPI
1013032226
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
March 20, 2007
Last Updated
August 08, 2016

Practice Location

  • 4211 N Buffalo RD Ste 6
  • Orchard Park, NY 14127-2401

Phone: (716) 662-3600

Specialties

  • Dentist (122300000X)
Full Record
NPI
1013032226
Entity Type
Individual
Last Name
Gallo
First Name
Joseph
Middle Name
L
Name Prefix
Dr.
Mailing Street Address
4211 N Buffalo RD Ste 6
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-2401
Mailing Country
US
Practice Street Address
4211 N Buffalo RD Ste 6
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-2401
Practice Country
US
Practice Phone
(716) 662-3600
Enumeration Date
March 20, 2007
Last Updated
August 08, 2016
Deactivation Date
August 01, 2016
Reactivation Date
August 08, 2016
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X)