Dale, Galen L.

Dale, Galen L. is an sole proprietor health care provider with primary practice located at 1504 Patton Dr Suite #1, Mahomet IL 61853-8113. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Dale, Galen L. can be contacted via phone (217) 586-4922.

Contact Information

Primary practice address
1504 Patton Dr Suite #1 Mahomet IL 61853-8113
Phone: (217) 586-4922
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019-017376 Illinois

Profile Details

NPI number 1376566026
LBN Legal business name Dale, Galen L.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Jul 6th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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