Healthcare Provider Details

I. General information

NPI: 1154640316
Provider Name (Legal Business Name): CHRISTOPHER JOSEPH GALEA DDS, MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2010
Last Update Date: 05/09/2023
Certification Date: 05/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5456 RENO CORPORATE DR
RENO NV
89511-2250
US

IV. Provider business mailing address

290 BRINKBY AVE
RENO NV
89509-4348
US

V. Phone/Fax

Practice location:
  • Phone: 775-825-0285
  • Fax: 775-470-5465
Mailing address:
  • Phone: 775-825-0285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License NumberMD.303082
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberS2-153C
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: