Provider Demographics
NPI:1568522241
Name:DAMIAN F GALBO DDS PC
Entity Type:Organization
Organization Name:DAMIAN F GALBO DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAMIAN
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:GALBO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:203-744-1646
Mailing Address - Street 1:3 SCHOOL STREET
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:CT
Mailing Address - Zip Code:06801
Mailing Address - Country:US
Mailing Address - Phone:203-744-1646
Mailing Address - Fax:203-798-6801
Practice Address - Street 1:3 SCHOOL STREET
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:CT
Practice Address - Zip Code:06801
Practice Address - Country:US
Practice Address - Phone:203-744-1646
Practice Address - Fax:203-798-6801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0045041223G0001X
CT0088171223G0001X
CT002658124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Not Answered124Q00000XDental ProvidersDental HygienistGroup - Multi-Specialty