| Dr Thomas A Gallivan, Jr, Dds, Pc | |
|
198 North Main Street Rutland VT 05701 | |
| (802) 773-1393 | |
| Not Available |
| Full Name | Dr Thomas A Gallivan, Jr, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 198 North Main Street, Rutland, Vermont |
| Authorized Official Name and Position | Thomas A Gallivan (PRESIDENT) |
| Authorized Official Contact | 8027731393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas A Gallivan, Jr, Dds, Pc 198 North Main Street Rutland VT 05701 Ph: (802) 773-1393 | Dr Thomas A Gallivan, Jr, Dds, Pc 198 North Main Street Rutland VT 05701 Ph: (802) 773-1393 |
| NPI Number | 1598916579 |
|---|---|
| Provider Enumeration Date | 10/08/2008 |
| Last Update Date | 10/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598916579 | NPI | - | NPPES |
| 0001719 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 016-0000583 (Vermont) | Primary |
Heaton & Fisch Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 N Main St, Rutland, VT 05701 Phone: 802-775-5286 Fax: 802-775-2218 | |
The Center For Dental Health Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Stratton Rd Ste 2, Rutland, VT 05701 Phone: 802-775-5777 | |
Allen Pond Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Allen St, Suite 301, Rutland, VT 05701 Phone: 802-775-0986 Fax: 802-419-3300 | |
Center For Dental Health Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Stratton Rd, Rutland, VT 05701 Phone: 802-775-5777 | |
Lynn H. Duboff, Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 Allen St, Rutland, VT 05701 Phone: 802-779-6137 | |
Jonathan E Mason Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 General Wing Rd, Rutland, VT 05701 Phone: 802-775-0819 | |
Dick & Duboff Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Stratton Rd, Rutland, VT 05701 Phone: 802-775-6981 Fax: 802-775-1705 |