Provider Demographics
NPI:1164611620
Name:GALIONE, ROBERT FREDERICK (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:FREDERICK
Last Name:GALIONE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 HYDRAULIC RIDGE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-8128
Mailing Address - Country:US
Mailing Address - Phone:434-293-9300
Mailing Address - Fax:434-973-9310
Practice Address - Street 1:259 HYDRAULIC RIDGE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-8128
Practice Address - Country:US
Practice Address - Phone:434-293-9300
Practice Address - Fax:434-973-9310
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-22
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010049671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice