Patrick Andrew Reilly, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1859321 Issued in MA

Practice address

635 Tremont St
Boston, MA 02118-1346

Phone

(617) 424-0606

NPI assigned

Jun 7, 2017

Last updated

Aug 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Form Dentistry

  dba Giglio Dental

  • General Practice Dentistry
  • Waltham, MA
  • NPI 1841194412
  Authorized official Same address or phone
• Tremont Dental Care

  • General Practice Dentistry
  • Boston, MA
  • NPI 1336351493
  NPD (past)
• Henderson Mill Dental Care, PC

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1699819938
  NPD (past)

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1710416318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CONANT RD",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021711805",
            "telephone_number": "781-351-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 TREMONT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021181346",
            "telephone_number": "617-424-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "PATRICK",
        "middle_name": "ANDREW",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-07",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1859321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Balzotti Reilly, FNP-BC
• Jill Warren Reilly, LCSW
• Kathleen Ann Reilly, AU.D., CCC-A
• Marie Anne Reilly, M.D.
• Nadja N Reilly, PHD
• Scott J Reilly, RN
• Jennifer Rein, LICSW
• Jennifer B Rein, PNP
• Raquel Rein, NP
• Kathleen S. Reinecke, C.N.M.

• General Practice Dentistry in Boston, MA
• Providers in Boston, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.