Gallagher, George Thomas

Gallagher, George Thomas is an individual health care provider with primary practice located at 100 E Newton St G 04, Boston MA 02118-2651. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Pathology is his primary health care specialty. Gallagher, George Thomas can be contacted via phone (617) 638-4808.

Contact Information

Primary practice address
100 E Newton St G 04 Boston MA 02118-2651
Phone: (617) 638-4808
Fax: (617) 638-4697
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 11865 Massachusetts
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 11865 Massachusetts

Profile Details

NPI number 1942291489
LBN Legal business name Gallagher, George Thomas
Credentials DMD DMSC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942291489 NPPES
Massachusetts Other X04285 BLUE CROSS AND BLUE SHIEL

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