Provider Demographics
NPI:1124729371
Name:ABIGAIL F GALLEY DMD LLC
Entity type:Organization
Organization Name:ABIGAIL F GALLEY DMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-417-9586
Mailing Address - Street 1:2312 HIDDEN TIMBER DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-3310
Mailing Address - Country:US
Mailing Address - Phone:412-417-9586
Mailing Address - Fax:
Practice Address - Street 1:1910 COCHRAN RD STE 910
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-1214
Practice Address - Country:US
Practice Address - Phone:412-440-0344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental