Individual provider Active NPI

George Galileos

  • General Practice Dentistry
  • Dedham, MA
National Provider Identifier
1528474608
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1858154 Issued in MA
Practice address
4 Wiggin Ave
Dedham, MA 02026-1629
Phone
(617) 543-1891
NPI assigned
Jul 9, 2014
Last updated
Mar 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1858154 MA Primary

Addresses

Primary practice location

4 Wiggin Ave
Dedham, MA 02026-1629

Mailing address

4 Wiggin Ave
Dedham, MA 02026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160610001948 MA Order and Referring Only - DentistPractitioner - Dentist 7911297445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1858154MAMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: ggalileos304494@direct.ochin.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1528474608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WIGGIN AVE",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "02026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WIGGIN AVE",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261629",
            "telephone_number": "617-543-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALILEOS",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-09",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1858154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

Verify at the official NPI Registry.