Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

FORM DENTISTRY
NPI 1841194412
Dentist - General Practice in Waltham, MA

Q: What is Form Dentistry's NPI number?

The NPI number for Form Dentistry is 1841194412. It was assigned to this organization in the NPPES registry on October 6, 2026. The provider is doing business as Giglio Dental.

Q: What is Form Dentistry's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Form Dentistry was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.

Active since October 06, 2026

66 SOUTH ST, WALTHAM, MA 02453(781) 899-2324 Get Directions Write a Review

NPPES record added: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

On this page

About Form Dentistry NPPES

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

FORM DENTISTRY (NPI 1841194412), doing business as Giglio Dental, is a healthcare organization registered as a general practice in Waltham, Massachusetts and active in the NPI registry since October 2026. The organization lists Patrick A Reilly, Dentist, Owner, as its authorized official.

NPPES Registry Identity

NPI1841194412

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameFORM DENTISTRY

Location Address66 SOUTH STWaltham, MA 02453-3537

Mailing Address75 Conant RdQuincy, MA 02171-1805 · (781) 351-1355

Phone(781) 899-2324

Organization SubpartNo

Authorized OfficialPatrick A ReillyDentist, Owner · (781) 351-1355

Enumeration DateOctober 6, 2026

NPPES CertifiedOctober 6, 2026

✔ NPI 1841194412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

66 SOUTH ST, Waltham, MA 02453

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Other Names 1

Doing Business AsGiglio Dental

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN FRANCIS GIGLIO III DMD

Dentist (General Practice)

66 SOUTH ST
WALTHAM, MA 02453

Middlesex County (781) 899-2324

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 Form Dentistry's NPI number?

The NPI number for Form Dentistry is 1841194412. It was assigned to this organization in the NPPES registry on October 6, 2026. The provider is doing business as Giglio Dental.

Where is Form Dentistry located?

Form Dentistry is located at 66 South St, Waltham, MA 02453. The listed phone number is (781) 899-2324.

What is Form Dentistry'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 Form Dentistry was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.