# JOSE E. GALLEGOS, D.D.S., P.C.

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

## Provider details

- **NPI number:** 1861555740
- **Authorized official:** MS. MARY L HAYNES (FINANCIAL COORDINATOR)
- **Authorized official phone:** (804) 739-9830

## Contact information

- **Practice address:** 13861 HULL STREET RD, SUITE 200, MIDLOTHIAN, VA 23112-2003
- **Practice address phone:** (804) 739-9190
- **Practice address fax:** (804) 739-9543
- **Mailing address:** 5424 SUNRISE BLUFF CT, MIDLOTHIAN, VA 23112-2516
- **Mailing address phone:** (804) 739-4972
- **Mailing address fax:** (804) 739-9543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401007260 | VA | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 08/22/2020