Provider Demographics
NPI:1790051043
Name:GALVIN, DENNIS (LAC, DAOM)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:GALVIN
Suffix:
Gender:M
Credentials:LAC, DAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6458 LOWER YORK RD
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938-5696
Mailing Address - Country:US
Mailing Address - Phone:267-714-4149
Mailing Address - Fax:267-202-7472
Practice Address - Street 1:6458 LOWER YORK RD
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:PA
Practice Address - Zip Code:18938-5696
Practice Address - Country:US
Practice Address - Phone:267-714-4149
Practice Address - Fax:267-202-7472
Is Sole Proprietor?:No
Enumeration Date:2012-03-30
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOM000144171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist