MEDICARE: DR. KARA ANNE GALLAGHER DDS

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	122300000X	Dentist	0529901	NY
2	122300000X	Dentist	4670	SC

General Provider Information

NPI Number	:	1962513598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARA ANNE GALLAGHER DDS

Provider Business Mailing Address
First Line	:	2580 THE HAUL OVER
Second Line	:
City	:	JOHNS ISLAND
State	:	SC
Zip	:	29455-6135
Country	:	US
Telephone Number	:	347-886-4064
Fax Number	:

Provider Business Practice Location Address
First Line	:	808 WAPPOO RD
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-5865
Country	:	US
Telephone Number	:	843-818-5437
Fax Number	:

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	12/22/2020

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