Ernest Algis Gailiunas, DMD

Individual provider Active NPI General Practice Dentistry · Cotuit, MA

NPI 1003929290 · NPPES record last updated May 7, 2014

Key facts

NPI
1003929290
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
14950 (MA)
Practice address
10 Main Street
Aesthetic Dental Care
Cotuit, MA 02635
Phone
(508) 428-3392
Fax
(508) 428-5348
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
14950MAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14950 MA Yes

Addresses

Primary practice location

10 Main Street
Aesthetic Dental Care
Cotuit, MA 02635

Mailing address

10 Main Street
Cotuit, MA 02635
Phone (508) 428-3392

Other providers in Cotuit, MA

All providers in Cotuit, MA · General Practice Dentistry in Massachusetts

Sources for this page

Verify at the official NPI Registry.