Active NPIOrganization

Dr Thomas A Gallivan, Jr, DDS, PC

Dentist, General Practice in Rutland, Vermont

NPI Number1598916579
Practice location
198 North Main Street, Rutland, VT 05701
Fax
—
Last updated
October 8, 2008

Dr Thomas A Gallivan, Jr, DDS, PC is a healthcare organization based in Rutland, VT. Dr Thomas A Gallivan, Jr, DDS, PC practices in Rutland, VT. The NPI Number for Dr Thomas A Gallivan, Jr, DDS, PC is 1598916579 and holds a License No. 016-0000583 (VT). The current practice location address for Dr Thomas A Gallivan, Jr, DDS, PC is 198 North Main Street, Rutland, VT 05701 and can be reached out via phone at 802-773-1393.

Provider Profile Details

NPI Number
1598916579
Provider Name
Dr Thomas A Gallivan, Jr, DDS, PC
Provider Entity Type
Organization
Address
198 North Main Street, Rutland, VT 05701
Phone Number
802-773-1393
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Thomas A Gallivan, DDS · President · 802-773-1393
Provider Enumeration Date
October 8, 2008
Last Update Date
October 8, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
198 North Main Street
Rutland, VT 05701
State
Vermont
Zip
05701
Phone Number
802-773-1393
Rutland, VT 05701Get directions →

Provider Business Mailing Address Details

Address
198 North Main Street
Rutland, VT 05701
City
Rutland
State
VT
Zip
05701
Phone Number
802-773-1393

License Information

License Number
016-0000583
License State
VT
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr Thomas A Gallivan, Jr, DDS, PC?

The NPI number of Dr Thomas A Gallivan, Jr, DDS, PC is 1598916579. It was assigned on October 8, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr Thomas A Gallivan, Jr, DDS, PC?

Dr Thomas A Gallivan, Jr, DDS, PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in VT under license number 016-0000583.

Where does Dr Thomas A Gallivan, Jr, DDS, PC practice?

The practice location is 198 North Main Street, Rutland, VT 05701. The office can be reached at 802-773-1393 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598916579 directly on the NPPES registry website.

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