# NICKIE L GALE DDS PA

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

## Provider details

- **NPI number:** 1437345170
- **Authorized official:** DR. NICKIE L GALE DDS (PRESIDENT/TREASURER)
- **Authorized official phone:** (913) 764-6367

## Contact information

- **Practice address:** 304 S CLAIRBORNE RD, SUITE 100, OLATHE, KS 66062-1725
- **Practice address phone:** (913) 764-6367
- **Practice address fax:** (913) 764-6387
- **Mailing address:** 13237 W 132ND ST, OVERLAND PARK, KS 66213-2388
- **Mailing address phone:** (913) 764-6367
- **Mailing address fax:** (913) 764-6387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 60211 | KS | Yes |

## Other

- **Enumeration date:** 09/17/2007
- **Last updated:** 09/17/2007