Provider Demographics
NPI:1801015425
Name:STEVE A GALELLA D.D.S., PERRIN L JONES JR ,D.D.S., P.L.L.C.
Entity Type:Organization
Organization Name:STEVE A GALELLA D.D.S., PERRIN L JONES JR ,D.D.S., P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:A
Authorized Official - Last Name:GALELLA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:901-853-4200
Mailing Address - Street 1:875 W POPLAR AVE
Mailing Address - Street 2:SUITE 16
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-2513
Mailing Address - Country:US
Mailing Address - Phone:901-853-4200
Mailing Address - Fax:
Practice Address - Street 1:875 W POPLAR AVE
Practice Address - Street 2:SUITE 16
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-2513
Practice Address - Country:US
Practice Address - Phone:901-853-4200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN32211223G0001X
TN69441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty