DR. BRUCE V GALLUP DMD
NPI 1790788487
Dentist - Oral and Maxillofacial Surgery in Auburn, ME

Active since May 27, 2005
211 MOUNT AUBURN AVE, AUBURN, ME 04210(207) 514-7171(207) 514-7177 Get Directions Write a Review

NPPES record last updated: November 29, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Bruce V Gallup Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRUCE V GALLUP DMD (NPI 1790788487) is an individual oral and maxillofacial surgery provider in Auburn, Maine, licensed in Maine (3223) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1790788487
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. BRUCE V GALLUPCredential: DMD
Location Address211 MOUNT AUBURN AVEAuburn, ME 04210-8521
Mailing Address211 Mount Auburn AveAuburn, ME 04210-8521 · (207) 514-7171 · Fax (207) 514-7177
Fax(207) 514-7177
Sole ProprietorNo
Enumeration DateMay 27, 2005
Last NPPES UpdateNovember 29, 2012
NPI 1790788487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in ME · 3223
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
211 MOUNT AUBURN AVE, Auburn, ME 04210

Other Identifiers 3

Medicare ID-Type UnspecifiedMM4339ME
Medicaid269850099ME
Medicare UPINU32454ME

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
211 MOUNT AUBURN AVE
AUBURN, ME 04210
Dentist (Oral and Maxillofacial Surgery)
211 MOUNT AUBURN AVE
AUBURN, ME 04210
Dentist (Oral and Maxillofacial Surgery)
211 MOUNT AUBURN AVE
AUBURN, ME 04210
Dentist (Oral and Maxillofacial Surgery)
211 MOUNT AUBURN AVE
AUBURN, ME 04210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce Gallup's NPI number?

The NPI number for Bruce Gallup is 1790788487. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Bruce Gallup located?

Bruce Gallup practices at 211 Mount Auburn Ave, Auburn, ME 04210. The listed phone number is (207) 514-7171.

What is Bruce Gallup's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Bruce Gallup was last updated on November 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.