IndividualActive
Michael Gullo, DDS
NPI 1104958255 · Dentist · Marlton, NJ
Michael Gullo, DDS is a Dentist provider in Marlton, NJ (NPI 1104958255).
Provider details
- NPI number
- 1104958255
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 22DI01147100 (NJ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1002a Greentree Executive Campus
Marlton, NJ 08053-1533
Phone: (856) 988-9080
Fax: (856) 552-0739
Approximate (ZIP-level) locationGet directions
Mailing address
1002a Greentree Executive Campus
Marlton, NJ 08053-1533
Registry dates
- Enumerated
- 2007-03-12
- Last updated
- 2007-07-08
Frequently asked questions
- What is Michael Gullo's NPI number?
- Michael Gullo's National Provider Identifier (NPI) is 1104958255, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Gullo's specialty?
- Michael Gullo is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Michael Gullo located?
- Michael Gullo's practice location on file with NPPES is 1002a Greentree Executive Campus, Marlton, NJ 08053-1533.
- What is Michael Gullo's phone number?
- The practice phone number listed in the NPPES registry for Michael Gullo is (856) 988-9080.
- Is Michael Gullo's NPI active?
- Yes — Michael Gullo's NPI (1104958255) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.