Active NPI
Form Dentistry
Doing business as Giglio Dental
- General Practice Dentistry
- Waltham, MA
National Provider Identifier
1841194412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- FORM DENTISTRY
- Doing business as
- Giglio Dental
- Practice address
- 66 South St
Waltham, MA 02453-3537 - Phone
- (781) 899-2324
- NPI assigned
- Oct 6, 2026
- Last updated
- Oct 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick A Reilly, DMD
- Title
- Dentist, Owner
- Phone
- (781) 351-1355
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
66 South St
Waltham, MA 02453-3537
Mailing address
75 Conant Rd
Quincy, MA 02171-1805
Phone (781) 351-1355
Other names 1
- Giglio Dental
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Boston, MA
- NPI 1710416318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791244800000",
"number": "1841194412",
"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": "66 SOUTH ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024533537",
"telephone_number": "781-899-2324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORM DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-06",
"last_updated": "2026-10-06",
"certification_date": "2026-10-06",
"status": "A",
"authorized_official_last_name": "REILLY",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DENTIST, OWNER",
"authorized_official_telephone_number": "781-351-1355",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Giglio Dental",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.