# GULFSIDE DENTAL-GALVESTON PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326443128
- **Authorized official:** MARY PU (VP OF FINANCE)
- **Authorized official phone:** (972) 869-3789

## Contact information

- **Practice address:** 6026 SEAWALL BLVD STE B, GALVESTON, TX 77551-5866
- **Practice address phone:** (972) 869-3789
- **Practice address fax:** (972) 869-3791
- **Mailing address:** PO BOX 734753, DALLAS, TX 75373-4753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 10/23/2014
- **Last updated:** 01/31/2022