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NPI Code Detail

MEDICARE: DR. PHILIP G GALLAHER DDS

MEDICARE:  DR. PHILIP G GALLAHER  DDS
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
1122300000XDentist3023WA

General Provider Information

NPI Number : 1417927484
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PHILIP G GALLAHER DDS
Provider Business Mailing Address
First Line : 509 OLIVE WAY
Second Line : STE 1640
City : SEATTLE
State : WA
Zip : 98101-1720
Country : US
Telephone Number : 206-682-3135
Fax Number : 206-225-0992
Provider Business Practice Location Address
First Line : 509 OLIVE WAY
Second Line : STE 1640
City : SEATTLE
State : WA
Zip : 98101-1720
Country : US
Telephone Number : 206-682-3135
Fax Number : 206-225-0992
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2006
Last Update Date : 11/09/2025

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Directions to “ DR. PHILIP G GALLAHER DDS” Practice Location

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