| Gallemore Dental Group | |
|
2179 W 24th St Yuma AZ 85364-6241 | |
| (928) 782-4707 | |
| (928) 569-0964 |
| Full Name | Gallemore Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 2179 W 24th St, Yuma, Arizona |
| Authorized Official Name and Position | Jose Manuel Castro (OFFICE MANAGER) |
| Authorized Official Contact | 9287824707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gallemore Dental Group 2179 W 24th St Yuma AZ 85364-6241 Ph: (928) 782-4707 | Gallemore Dental Group 2179 W 24th St Yuma AZ 85364-6241 Ph: (928) 782-4707 |
| NPI Number | 1447450127 |
|---|---|
| Provider Enumeration Date | 07/20/2007 |
| Last Update Date | 10/28/2020 |
| Medicare PECOS PAC ID | 0345627451 |
|---|---|
| Medicare Enrollment ID | O20220511000900 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447450127 | NPI | - | NPPES |
| 155269 | Other | AZ | ACHSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4390 (Arizona) | Primary |
| Provider Name | Joseph Drew Gallemore |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1902961279 PECOS PAC ID: 6103898879 Enrollment ID: I20220511001109 |
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