National Provider Identifier

Gary M Gullo, DDS

Gary M Gullo, DDS is listed in the NPPES registry with a primary specialty of Dentist in Rochester, NY and a listed phone number of (585) 424-5160.

NPI 1770672016Rochester, NYDentist

Profile Overview

NPI
1770672016
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
October 12, 2006
Last Updated
July 08, 2007

Practice Location

  • 532 White Spruce Blvd
  • Rochester, NY 14623-1613

Phone: (585) 424-5160

Mailing Address

  • 12 Cannock Dr
  • Fairport, NY 14450-4107

Specialties

  • Dentist (122300000X)
Full Record
NPI
1770672016
Entity Type
Individual
Last Name
Gullo
First Name
Gary
Middle Name
M
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
12 Cannock Dr
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-4107
Mailing Country
US
Mailing Phone
(585) 223-1793
Practice Street Address
532 White Spruce Blvd
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-1613
Practice Country
US
Practice Phone
(585) 424-5160
Enumeration Date
October 12, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X)