Provider Demographics
NPI:1447467865
Name:GALEHOUSE, GEORGE R III (DDS)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:R
Last Name:GALEHOUSE
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1630 SCHILLER AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223-1756
Mailing Address - Country:US
Mailing Address - Phone:330-923-8811
Mailing Address - Fax:330-923-1839
Practice Address - Street 1:1630 SCHILLER AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-1756
Practice Address - Country:US
Practice Address - Phone:330-923-8811
Practice Address - Fax:330-923-1839
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH176551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice