MEDICARE: DR. MARIE A GALE D.D.S., M.S.

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	1223P0700X	Prosthodontics	DN8521	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346245941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIE A GALE D.D.S., M.S.

Provider Business Mailing Address
First Line	:	1994 W RIVER AVE
Second Line	:
City	:	OSCODA
State	:	MI
Zip	:	48750-9295
Country	:	US
Telephone Number	:	239-936-2221
Fax Number	:

Provider Business Practice Location Address
First Line	:	1994 W RIVER AVE
Second Line	:
City	:	OSCODA
State	:	MI
Zip	:	48750-9295
Country	:	US
Telephone Number	:	239-936-2221
Fax Number	:

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

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	04/05/2021

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