Dr. Thomas A Gallivan , DDS
Dentist - General Practice • Rutland, VT
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Thomas Gallivan has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Thomas Gallivan, DDS was a registered Dentist - General Practice practicing in Rutland, VT. Throughout an active medical career spanning 11 years, Dr. Gallivan provided care at the practice location at 198 N MAIN ST until profile deactivation on 2018-01-03.
Practice Location & Contact Primary Location
198 N Main St
Rutland, VT 057013020
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Rutland, VT
Practicing in Rutland, VT (279 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Optometrist
Doctor of Optometry
Optometrist
Doctor of Optometry
Dentist
Doctor of Dental Medicine
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 03, 2018
NPI status registered as active in NPPES database
Registered at 198 N MAIN ST, RUTLAND, VT 057013020 (Tel: 8027731393)
Registered at 198 N MAIN ST, RUTLAND, VT 057013020 (Tel: 8027731393)
Recorded as THOMAS GALLIVAN, DDS
Dentist (License #016-0000583 in VT)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
198 N Main St
Rutland, VT 057013020
Phone: 8027731393
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