Healthcare Provider Details

I. General information

NPI: 1184549586
Provider Name (Legal Business Name): DEBORAH ELLEN GALAT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 4TH ST SW
WASHINGTON DC
20024-4457
US

IV. Provider business mailing address

1101 4TH ST SW
WASHINGTON DC
20024-4457
US

V. Phone/Fax

Practice location:
  • Phone: 202-554-5011
  • Fax:
Mailing address:
  • Phone: 202-554-5011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN2001705
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: