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

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

Active since October 06, 2026
66 SOUTH ST, WALTHAM, MA 02453(781) 899-2324 Get Directions Write a Review

NPPES record added: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 27, 2026, Oct 6, 2026 (2 updates tracked since 2026).

About Form Dentistry Pllc NPPES

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

FORM DENTISTRY PLLC (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 PLLC
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
Last NPPES UpdateOctober 27, 20262 updates tracked since enumeration
NPPES CertifiedOctober 27, 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

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 PLLC's NPI number?

The NPI number for Form Dentistry PLLC 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 PLLC located?

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

What is Form Dentistry PLLC'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 PLLC was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.