Healthcare Provider Details

I. General information

NPI: 1073736492
Provider Name (Legal Business Name): GALLOWAY DENTAL ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8500 SW 92ND ST SUITE 103
MIAMI FL
33156-7390
US

IV. Provider business mailing address

8500 SW 92ND ST SUITE 103
MIAMI FL
33156-7390
US

V. Phone/Fax

Practice location:
  • Phone: 305-271-0861
  • Fax: 305-271-9761
Mailing address:
  • Phone: 305-271-0861
  • Fax: 305-271-9761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. STANLEY L ZAKARIN
Title or Position: PRESIDENT
Credential: D.D.S.
Phone: 305-271-0861