DR THOMAS A GALLIVAN, JR, DDS, PC
NPI 1598916579
Dentist - General Practice in Rutland, VT

Active since October 08, 2008
198 NORTH MAIN STREET, RUTLAND, VT 05701(802) 773-1393 Get Directions Write a Review

NPPES record last updated: October 8, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr Thomas A Gallivan, Jr, Dds, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR THOMAS A GALLIVAN, JR, DDS, PC (NPI 1598916579) is a healthcare organization registered as a general practice in Rutland, Vermont and active in the NPI registry since October 2008. The organization lists Thomas A Gallivan, President, as its authorized official.

NPPES Registry Identity

NPI1598916579
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDR THOMAS A GALLIVAN, JR, DDS, PC
Location Address198 NORTH MAIN STREETRutland, VT 05701
Mailing Address198 North Main StreetRutland, VT 05701 · (802) 773-1393
Organization SubpartNo
Authorized OfficialThomas A GallivanPresident · (802) 773-1393
Enumeration DateOctober 8, 2008
NPI 1598916579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in VT · 016-0000583
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
198 NORTH MAIN STREET, Rutland, VT 05701

Other Identifiers 1

Medicaid0001719VT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr Thomas A Gallivan, Jr, Dds, PC's NPI number?

The NPI number for Dr Thomas A Gallivan, Jr, Dds, PC is 1598916579. It was assigned to this organization in the NPPES registry on October 8, 2008.

Where is Dr Thomas A Gallivan, Jr, Dds, PC located?

Dr Thomas A Gallivan, Jr, Dds, PC is located at 198 North Main Street, Rutland, VT 05701. The listed phone number is (802) 773-1393.

What is Dr Thomas A Gallivan, Jr, Dds, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dr Thomas A Gallivan, Jr, Dds, PC was last updated on October 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.