Provider Demographics
NPI:1366511982
Name:GALANES, BILL R (DDS)
Entity type:Individual
Prefix:DR
First Name:BILL
Middle Name:R
Last Name:GALANES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:WILLIAM
Other - Middle Name:R
Other - Last Name:GALANES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:680 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60120-3731
Mailing Address - Country:US
Mailing Address - Phone:847-742-9886
Mailing Address - Fax:847-742-9890
Practice Address - Street 1:680 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60120-3731
Practice Address - Country:US
Practice Address - Phone:847-742-9886
Practice Address - Fax:847-742-9890
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist