Provider Demographics
NPI:1316011646
Name:GALANOS, WILLIAM GUO (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:GUO
Last Name:GALANOS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 WEST 81ST AVE
Mailing Address - Street 2:STE H
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410
Mailing Address - Country:US
Mailing Address - Phone:219-736-1212
Mailing Address - Fax:219-736-2612
Practice Address - Street 1:500 WEST 81ST AVE
Practice Address - Street 2:STE H
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410
Practice Address - Country:US
Practice Address - Phone:219-736-1212
Practice Address - Fax:219-736-2612
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12008902122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist