# DALE M. GALLAGHER, D.D.S., P.A.

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

## Provider details

- **NPI number:** 1992900559
- **Authorized official:** MRS. NANCY DARLENE YOUNG (PRACTICE MANAGER)
- **Authorized official phone:** (512) 258-1636

## Contact information

- **Practice address:** 12210 PECAN ST, AUSTIN, TX 78727-6109
- **Practice address phone:** (512) 258-1636
- **Practice address fax:** (512) 258-6352
- **Mailing address:** 12210 PECAN ST, AUSTIN, TX 78727-6109
- **Mailing address phone:** (512) 258-1636
- **Mailing address fax:** (512) 258-6352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 14399 | TX | Yes |

## Other

- **Enumeration date:** 06/15/2007
- **Last updated:** 08/22/2020
