Individual
DR. JEFFREY MELVIN GALLISDORFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
116 JONESTOWN RD, WINSTON SALEM, NC 27104-4617
(336) 768-7495
(336) 768-7499
Mailing address
116 JONESTOWN RD, WINSTON SALEM, NC 27104-4617
(336) 768-7495
(336) 768-7499
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5143
NC
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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