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NPI Code Detail

MEDICARE: DR. RICHARD GALLANT

MEDICARE: DR. RICHARD GALLANT
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
1122300000XDentist61197KS
2122300000XDentist2016016547MO

General Provider Information

NPI Number : 1649725425
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD GALLANT
Provider Business Mailing Address
First Line : 8220 E OXFORD CIR
Second Line : APT. 9101
City : WICHITA
State : KS
Zip : 67226-1863
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2838 N OLIVER ST
Second Line :
City : WICHITA
State : KS
Zip : 67220-2983
Country : US
Telephone Number : 314-341-3699
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2016
Last Update Date : 08/22/2016

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Directions to “ DR. RICHARD GALLANT ” Practice Location

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