Provider Demographics
NPI:1093832313
Name:GALLAGHER & GALLAGHER
Entity Type:Organization
Organization Name:GALLAGHER & GALLAGHER
Other - Org Name:CHESTNUT HILL DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:F
Authorized Official - Last Name:GALLAGHER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-242-6404
Mailing Address - Street 1:2 E CHESTNUT HILL AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19118-2715
Mailing Address - Country:US
Mailing Address - Phone:215-242-6404
Mailing Address - Fax:215-242-4907
Practice Address - Street 1:2 E CHESTNUT HILL AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118-2715
Practice Address - Country:US
Practice Address - Phone:215-242-6404
Practice Address - Fax:215-242-4907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty