Dr Thomas A Gallivan, Jr, Dds, Pc

LBN: Dr Thomas A Gallivan, Jr, Dds, Pc
Dr Thomas A Gallivan, Jr, Dds, Pc is an health care organization with primary practice located at 198 North Main Street , Rutland VT 05701. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Dr Thomas A Gallivan, Jr, Dds, Pc can be contacted via phone (802) 773-1393, or through Gallivan, Thomas A via phone (802) 773-1393.

Contact Information

Primary practice address
198 North Main Street Rutland VT 05701
Phone: (802) 773-1393
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gallivan, Thomas A Doctor of Dental Surgery (DDS)
Phone: (802) 773-1393

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 016-0000583 Vermont

Profile Details

NPI number 1598916579
LBN Legal business name Dr Thomas A Gallivan, Jr, Dds, Pc
DBA Doing business as
Authorized official Gallivan, Thomas A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 8th, 2008
Last updated Oct 8th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598916579 NPPES
Vermont MEDICAID 0001719

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