Dr Thomas A Gallivan, Jr, Dds, Pc is a Dental Clinic in Rutland, Vermont. It is located at 198 North Main Street, Rutland, VT and its contact number is 802-773-1393. The authorized person for Dr Thomas A Gallivan, Jr, Dds, Pc is Dr. Thomas A Gallivan Jr.
who is President of the clinic and their contact number is 802-773-1393. The primary license number for Dr Thomas A Gallivan, Jr, Dds, Pc is 016-0000583 (General Practice) in Vermont.
Dr Thomas A Gallivan, Jr, Dds, Pc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Dr Thomas A Gallivan, Jr, Dds, Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Dr Thomas A Gallivan, Jr, Dds, Pc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 198 North Main Street, Rutland,
Vermont, 05701 |
| Phone: | 802-773-1393 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Thomas A Gallivan Jr. |
| Position: | President |
| Contact Number: | 802-773-1393 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Dr Thomas A Gallivan, Jr, Dds, Pc clinic are as mentioned below.
| NPI Number: | 1598916579 |
| NPI Enumeration Date: | 08 Oct, 2008 |
| NPI Last Update On: | 08 Oct, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr Thomas A Gallivan, Jr, Dds, Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 016-0000583 | Vermont | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0001719 | Medicaid | Vermont | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr Thomas A Gallivan, Jr, Dds, Pc
198 North Main Street,
Rutland, Vermont |
| Zip: | 05701 |
| Phone Number: | 802-773-1393 |
Patients can reach Dr Thomas A Gallivan, Jr, Dds, Pc at
198 North Main Street, Rutland, Vermont or can
call to book an appointment on 802-773-1393.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.