MEDICARE: AURELIJA GALANIS DDS, MSD, CDT

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	122300000X	Dentist	26423	TX
2	1223P0700X	Prosthodontics	26423	TX
3	1223G0001X	General Practice Dentistry	26423	TX

General Provider Information

NPI Number	:	1760777437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AURELIJA GALANIS DDS, MSD, CDT

Provider Business Mailing Address
First Line	:	2902 N SHEPHERD DR UNIT C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-2296
Country	:	US
Telephone Number	:	713-230-8350
Fax Number	:

Provider Business Practice Location Address
First Line	:	2902 N SHEPHERD DR UNIT C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-2296
Country	:	US
Telephone Number	:	713-230-8350
Fax Number	:

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

Provider Enumeration Date	:	06/10/2011
Last Update Date	:	08/30/2022

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