Galloway, Paul A.

Galloway, Paul A. is an individual health care provider with primary practice located at 2075 Charlie Hall Blvd Suite A, Charleston SC 29414-5834. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Galloway, Paul A. can be contacted via phone (843) 556-1655.

Contact Information

Primary practice address
2075 Charlie Hall Blvd Suite A Charleston SC 29414-5834
Fax: (843) 556-1656
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 3956 South Carolina

Profile Details

NPI number 1720061005
LBN Legal business name Galloway, Paul A.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720061005 NPPES
South Carolina MEDICAID ZX3956

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