Provider Demographics
NPI:1912168311
Name:GALINA, ANDREA D (DDS)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:D
Last Name:GALINA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7063 MESSER RD
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23231-5509
Mailing Address - Country:US
Mailing Address - Phone:804-222-3310
Mailing Address - Fax:804-222-3311
Practice Address - Street 1:7063 MESSER RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23231-5509
Practice Address - Country:US
Practice Address - Phone:804-222-3310
Practice Address - Fax:804-222-3311
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0439001223G0001X
VA04014142351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice