MEDICARE: DR. JAMIE LYNNE GALLO DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DS041761	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144715038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMIE LYNNE GALLO DMD

Provider Business Mailing Address
First Line	:	116 S GEORGE ST
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17401-1474
Country	:	US
Telephone Number	:	717-845-8617
Fax Number	:	717-356-2270

Provider Business Practice Location Address
First Line	:	116 S GEORGE ST
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17401-1474
Country	:	US
Telephone Number	:	717-845-8617
Fax Number	:	717-356-2270

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2018
Last Update Date	:	03/02/2026

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