Individual
DR. ANITA JENNELL GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
277 VETERANS PKWY, MURFREESBORO, TN 37128-1076
(615) 713-1993
Mailing address
277 VETERANS PKWY STE A, MURFREESBORO, TN 37128-1077
(615) 131-9937
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401412742
VA
1223P0221X
Pediatric Dentistry
Primary
9856
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9856
DDS
TN
Enumeration date
10/22/2008
Last updated
10/02/2023
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