Provider Demographics
NPI:1447304753
Name:GALLAGHER, DENNIS WILLIAM (DO)
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:WILLIAM
Last Name:GALLAGHER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:357 CYPRESS DR STE 4
Mailing Address - Street 2:
Mailing Address - City:TEQUESTA
Mailing Address - State:FL
Mailing Address - Zip Code:33469-3060
Mailing Address - Country:US
Mailing Address - Phone:561-744-7450
Mailing Address - Fax:561-744-9742
Practice Address - Street 1:357 CYPRESS DR STE 4
Practice Address - Street 2:
Practice Address - City:TEQUESTA
Practice Address - State:FL
Practice Address - Zip Code:33469-3060
Practice Address - Country:US
Practice Address - Phone:561-744-7450
Practice Address - Fax:561-744-9742
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL2035156FX1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1101XEye and Vision Services ProvidersTechnician/TechnologistOphthalmic Assistant