Dale M. Gallagher, D.D.S., P.A.
Dentist, Oral and Maxillofacial Surgery in Austin, TX. Organization (NPI-2).
Details
- NPI
- 1992900559
- Entity type
- Organization (NPI-2)
- Legal business name
- Dale M. Gallagher, D.D.S., P.A.
- Organization subpart
- No
- Enumeration date
- Jun 15, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 14399 | TX | Yes |
Practice location
12210 Pecan StAustin, TX 78727-6109
Phone 512-258-1636 · Fax 512-258-6352
Mailing address
12210 Pecan StAustin, TX 78727-6109
Phone 512-258-1636 · Fax 512-258-6352
Authorized official
Nancy Darlene Young
Practice Manager
5122581636
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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