Healthcare Provider Details

I. General information

NPI: 1003976788
Provider Name (Legal Business Name): DAMIAN FRANK GALBO DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 SCHOOL STREET
BETHEL CT
06801
US

IV. Provider business mailing address

3 SCHOOL STREET
BETHEL CT
06801
US

V. Phone/Fax

Practice location:
  • Phone: 203-744-1646
  • Fax: 203-798-6801
Mailing address:
  • Phone: 203-744-1646
  • Fax: 203-798-6801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number004504
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: