Individual
JOHN R GALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
115 W WALNUT ST, ELLINGTON, MO 63638-9300
(573) 663-3177
(573) 663-3188
Mailing address
110 S 2ND ST, ELLINGTON, MO 63638-9400
(573) 663-2313
(573) 663-2441
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7082
OR
Other
Enumeration date
05/16/2007
Last updated
02/14/2018
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