# GALLUCCI DENTAL, LLC

> 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:** 1669911475
- **Authorized official:** DR. LISA N GALLUCCI DMD (DENTIST/OWNER)
- **Authorized official phone:** (856) 983-0546

## Contact information

- **Practice address:** 24 E MAIN ST, MARLTON, NJ 08053-2157
- **Practice address phone:** (856) 983-0546
- **Practice address fax:** (856) 596-3093
- **Mailing address:** 24 E MAIN ST, MARLTON, NJ 08053-2157
- **Mailing address phone:** (856) 983-0546
- **Mailing address fax:** (856) 596-3093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |

## Other

- **Enumeration date:** 02/14/2017
- **Last updated:** 08/11/2022